MRS. CAROLYN ASHCRAFT PUCKETT III (NPI# 1376650424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376650424 |
Entity Type | Individual |
Full Name | MRS. CAROLYN ASHCRAFT PUCKETT III |
Other Name | MRS. CAROLYN ASHCRAFT PUCKETT |
Credential | MSW |
Practice Address |
2801 Donahue Ferry Rd Pineville LA 71360-4513 |
Mailing Address |
Po Box 4126 2801 Donahue Ferry Pineville LA 71361-4126 |
Practice Telephone | 3186410008 |
Practice Fax Number | 3186411685 |
Mailing Telephone | 3186410008 |
Mailing Fax Number | 3186411685 |
Enumeration Date | 2006-08-24 |
Last Update Date | 2010-08-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
3066 | LA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225223589 | Carolyn Kim Puckett | Physical Therapist | 800 Tarpon Woods Blvd., Suite F1, Palm Harbor, FL 34685 | 2007-09-10 |
1639563513 | Carolyn Puckett | Behavioral Analyst | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2015-03-27 |
Street Address |
2801 DONAHUE FERRY RD |
City | PINEVILLE |
State | LA |
Zip Code | 71360-4513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124201793 | Freedom Counseling Center Inc | Community/Behavioral Health | 2801 Donahue Ferry Rd, Pineville, LA 71360-4513 | 2007-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
Find all providers in zip 71360 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124591920 | Ashley Nicole Lusk | Counselor | 438 River Drive, Pineville, WV 24874 | 2019-01-04 |
1972074052 | Gabrielle Nicole Cangelosi-carpenter | Counselor | 201 Laurel St, Pineville, LA 71360-4667 | 2018-12-16 |
1659882413 | Konje Y Byron | Counselor | 345 Pineville Forest Dr, Pineville, NC 28134-7436 | 2017-10-19 |
1639600554 | Vernon Huddleston | Counselor | 5504 Marbud Trce, Pineville, LA 71360-9381 | 2017-03-22 |
1437680691 | Deborah Greene | Counselor | 5693 Oaklane Rd, Pineville, LA 71360-7363 | 2017-03-21 |
1467990754 | Jessica Waldron | Counselor | 174 Philadelphia Rd Lot 51, Pineville, LA 71360-0113 | 2017-02-07 |
1366987695 | Lakayal Givens | Counselor | 12 Creduer Rd, Pineville, LA 71360-9165 | 2016-12-22 |
1881138691 | Kyiel Stanley | Counselor | 2907 Hills Number 1 Rd, Pineville, LA 71360-4301 | 2016-12-13 |
1760925010 | Erin Nicole Wright | Counselor | 320 Ball St Apt A, Pineville, LA 71360-6956 | 2016-11-18 |
1578013223 | Brenda King | Counselor | 505 Myers St, Pineville, LA 71360 | 2016-10-06 |
Find all providers in PINEVILLE |
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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.