CYNTHIA WILSON


Address: 404 Hearne Ave, Shreveport, LA 71103-2022
Phone: 3187161369

CYNTHIA WILSON (NPI# 1376087684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376087684
Entity Type Individual
Full Name CYNTHIA WILSON
Practice Address 404 Hearne Ave
Shreveport
LA 71103-2022
Practice Telephone 3187161369
Practice Fax Number 3186750120
Mailing Telephone 3187161369
Mailing Fax Number 3186750120
Enumeration Date 2016-12-06
Last Update Date 2016-12-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers CYNTHIA WILSON

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1023618600 Cynthia Wilson Nutritionist 1812 Wetherbourne Ct, Bowie, MD 20721-2772 2020-10-31
1578077830 Cynthia Lynn Wilson In Home Supportive Care 622 Overman Ave, Ottumwa, IA 52501-3949 2017-11-24
1316395049 Cynthia D Wilson Technician, Other 47382 Victorian Sq S, Canton, MI 48188-6329 2016-06-03
1003227299 Cynthia Sue Wilson Counselor 728 1st Ave N, Fort Dodge, IA 50501-0466 2014-05-11
1922420231 Cynthia Sue Wilson Registered Nurse 1137 Barbary Dr, Norman, OK 73072-8317 2014-01-07
1669737177 Cynthia Irene Wilson Specialist 8052 Erdman Rd, Little Valley, NY 14755-9721 2012-07-10
1528329059 Cynthia Wilson Home Health Aide 5344 C St Se, Washington, DC 20019-6389 2012-05-31
1922279090 Cynthia Ann Wilson Occupational Therapy Assistant 7273 Saint Andrews Rd, Lake Worth, FL 33467-1316 2008-03-17
1114046828 Cynthia Camp Wilson Speech-Language Pathologist 1928 Hertford Dr, South Park, PA 15129-8961 2007-03-28
1255477584 Cynthia Leigh Wilson Counselor 1022 W 23rd St, Ste 530, Panama City, FL 32405-3688 2007-01-30

Office Location

Street Address 404 HEARNE AVE
City SHREVEPORT
State LA
Zip Code 71103-2022

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437546991 Rising Up Family Services, LLC Community/Behavioral Health 404 Hearne Ave, Shreveport, LA 71103-2022 2015-04-22
1275170607 Right Turn, LLC Non-emergency Medical Transport (VAN) 404 Hearne Ave, Shreveport, LA 71103-2022 2019-12-04
1295211480 Kimberly Dawn Johnson Case Manager/Care Coordinator 404 Hearne Ave, Shreveport, LA 71103 2018-07-11
1922590355 Brooke Lewis Case Manager/Care Coordinator 404 Hearne Ave, Shreveport, LA 71103 2018-06-01
1366945669 John Danzell Case Manager/Care Coordinator 404 Hearne Ave, Shreveport, LA 71103 2018-03-13
1013421056 James Ford Case Manager/Care Coordinator 404 Hearne Ave, Shreveport, LA 71103 2017-11-29
1184134983 Delton Abrams Social Worker 404 Hearne Ave, Shreveport, LA 71103-2022 2017-10-05
1841718301 Rendy Allen Case Manager/Care Coordinator 404 Hearne Ave, Shreveport, LA 71103 2017-09-05
1588194583 Eric Vinceson Clark Sr. Counselor 404 Hearne Ave, Shreveport, LA 71103-2022 2017-06-13
1225572514 Demetris Pillows Case Manager/Care Coordinator 404 Hearne Ave, Shreveport, LA 71103 2016-12-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

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.

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