MR. RICKEY EVANS (NPI# 1356791222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356791222 |
Entity Type | Individual |
Full Name | MR. RICKEY EVANS |
Practice Address |
4601 N Market St Ste 2 Shreveport LA 71107-2972 |
Practice Telephone | 3184248735 |
Practice Fax Number | 3184248739 |
Mailing Telephone | 3184248735 |
Mailing Fax Number | 3184248739 |
Enumeration Date | 2016-06-21 |
Last Update Date | 2016-06-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265877799 | Rickey Ali Evans | Student in an Organized Health Care Education/Training Program | 800 Rose St, H110, Lexington, KY 40536-0293 | 2013-05-10 |
Street Address |
4601 N MARKET ST STE 2 |
City | SHREVEPORT |
State | LA |
Zip Code | 71107-2972 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952771891 | Michael Curry | Counselor | 4601 N Market St Ste 2, Shreveport, LA 71107-2972 | 2015-10-05 |
1134695406 | Denver Thomas | Case Manager/Care Coordinator | 4601 N Market St Ste 2, Shreveport, LA 71107-2972 | 2018-10-15 |
1053887323 | Chadwick Jasper | Case Manager/Care Coordinator | 4601 N Market St Ste 2, Shreveport, LA 71107-2972 | 2018-10-15 |
1427537737 | Lashayla Ester | Case Manager/Care Coordinator | 4601 N Market St Ste 2, Shreveport, LA 71107-2972 | 2018-08-08 |
1760961072 | Brittainy Hogan | Case Manager/Care Coordinator | 4601 N Market St Ste 2, Shreveport, LA 71107 | 2018-08-08 |
1740776475 | Tiffany Turner | Case Manager/Care Coordinator | 4601 N Market St Ste 2, Shreveport, LA 71107-2972 | 2018-07-05 |
1467942102 | Tiawana Thomas Harris | Case Manager/Care Coordinator | 4601 N Market St Ste 2, Shreveport, LA 71107-2972 | 2018-05-17 |
1376033019 | Rachel Harrison Moore | Case Manager/Care Coordinator | 4601 N Market St Ste 2, Shreveport, LA 71107 | 2018-05-17 |
1902396641 | Robin Brace Quinn | Case Manager/Care Coordinator | 4601 N Market St Ste 2, Shreveport, LA 71107-2972 | 2018-05-17 |
1164924692 | Shemekia Clarkson | Case Manager/Care Coordinator | 4601 N Market St Ste 2, Shreveport, LA 71107 | 2018-02-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
Find all providers in zip 71107 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
1043842750 | Creative Community Counseling LLC | Counselor | 2920 Knight St Ste 131, Shreveport, LA 71105-2412 | 2020-02-11 |
1477191591 | Keona Chequise Kidd | Counselor | 2829 Dunlap St, Shreveport, LA 71103-2244 | 2019-12-19 |
1336781632 | A New Beginning Counseling Services, LLC | Counselor | 9441 Oleander Dr, Shreveport, LA 71118-4008 | 2019-10-08 |
1841840311 | Theresa Davidson Snow | Counselor | 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 | 2019-09-17 |
1962057737 | Mariana Penny | Counselor | 152 E College St, Shreveport, LA 71104-2510 | 2019-08-07 |
1528622818 | Kendal Redel | Counselor | 10011 Hanover Dr, Shreveport, LA 71115-3430 | 2019-04-23 |
1962960351 | Brandon Lewis-graham | Counselor | 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 | 2019-03-05 |
1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
1659840312 | Donna Brown Franks | Counselor | 236 E Gregg St, Shreveport, LA 71104-5119 | 2018-11-24 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71107 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.