MS. TOBI MOORE PROVENZANO (NPI# 1376979781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376979781 |
| Entity Type | Individual |
| Full Name | MS. TOBI MOORE PROVENZANO |
| Practice Address |
8501 Manhattan Harvey LA 70058 |
| Mailing Address |
501 Manhattan Harvey LA 70058 |
| Practice Telephone | 5045446029 |
| Practice Fax Number | 5043498686 |
| Mailing Telephone | 5045446029 |
| Mailing Fax Number | 5043498686 |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
8501 MANHATTAN |
| City | HARVEY |
| State | LA |
| Zip Code | 70058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144853003 | Carmen Nikita Ward-lewis | Counselor | 1901 Manhattan Blvd, Building D, Suite 104, Harvey, LA 70058 | 2020-02-19 |
| 1275023087 | Michael Ellis | Counselor | 3820 Melissa Dr, Harvey, LA 70058 | 2018-05-16 |
| 1316436447 | Affiliated Heart2heart Homecare Services, Inc. | In Home Supportive Care | 1901 Westbank Expy Ste 600, Harvey, LA 70058 | 2018-05-03 |
| 1720595804 | Alkeisha Lachelle Clark | Counselor | 4209 L Ac Couture Dr., D, Harvey, LA 70058 | 2018-01-10 |
| 1659888253 | Kevin A Velasquez | Psychologist | 81 Lake Lynn Dr, Harvey, LA 70058 | 2018-01-04 |
| 1629582937 | Tessie Hart | Counselor | 426 Manhattan Blvd., Harvey, LA 70058 | 2017-11-22 |
| 1326557562 | Lauretta Anne Gavin | Counselor | 2439 Manhattan Blvd., Suite 207, Harvey, LA 70058 | 2017-09-20 |
| 1760908792 | Eboni Dillon | Counselor | 3148 Keith Way Dr, Harvey, LA 70058 | 2017-08-22 |
| 1194246207 | Shawn Galmore | Counselor | 2808 Keithway Dr, Harvey, LA 70058 | 2017-06-28 |
| 1750811345 | Elite Learning Academy | Private Vehicle | 1913 Sugarloaf Drive, Harvey, LA 70058 | 2017-06-15 |
| Find all providers in zip 70058 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235774191 | Corina Herrera | Psychologist | 191 W 155th Pl, Harvey, IL 60426-3413 | 2019-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285148551 | Shanette Louise Dominick | Psychologist | 702 Highland View Dr, Youngsville, LA 70592-6185 | 2017-11-25 |
| 1073039566 | Lynette Rolland | Psychologist | 5862 Sylvia Dr, New Orleans, LA 70124-1132 | 2017-08-17 |
| 1811412448 | Wealthia Lyna Jackson | Psychologist | 11115 Sandwood Dr, Keithville, LA 71047-8345 | 2017-08-04 |
| 1447780382 | Latasha M Cubas | Psychologist | 128 Oakmont Dr, La Place, LA 70068-1730 | 2017-06-14 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1679952469 | W Alan Coulter | Psychologist | 1900 Gravier, 6th Floor, New Orleans, LA 70112 | 2015-05-26 |
| 1982098943 | Assessment & Psychological Services, Inc | Psychologist | 4300 S I 10 Service Rd W Ste 112, Metairie, LA 70001-7425 | 2015-03-26 |
| 1447673942 | Miriam Carroll Crumby Kimball | Psychologist | 29816 Aster St, Walker, LA 70785-7929 | 2014-02-04 |
| 1811319239 | Damon B. Smothers | Psychologist | 12100 Morrison Rd, New Orleans, LA 70128-2418 | 2014-01-21 |
| 1982996054 | Barbara Jean Cottingham | Psychologist | 6728 Kinloch St, Winnsboro, LA 71295-2618 | 2011-05-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. TOBI MOORE PROVENZANO.
| 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.