MRS. KRISTY LASHAWN DANDRIDGE-CLARK (NPI# 1396114161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396114161 |
| Entity Type | Individual |
| Full Name | MRS. KRISTY LASHAWN DANDRIDGE-CLARK |
| Other Name | KRISTY LASHAWN DANDRIDGE |
| Credential | LPC |
| Practice Address |
29437 Highway 63 Ste. 14 Livingston LA 70754-7075 |
| Mailing Address |
Po Box 395 Clinton LA 70722-0395 |
| Practice Telephone | 2252831356 |
| Mailing Telephone | 2256835292 |
| Mailing Fax Number | 2256831310 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | STATE OF LOUISIANA LICENSED PROFESSIONAL COUNSELORS BOARD OF EXA | 6147 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8542 Siegen Ln, Baton Rouge, LA 708101940 | 2253081689 |
| Street Address |
29437 HIGHWAY 63 STE. 14 |
| City | LIVINGSTON |
| State | LA |
| Zip Code | 70754-7075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851728497 | Shenadra A. Scrubbs | Social Worker | 29437 Highway 63, Ste. 14, Livingston, LA 70754 | 2013-09-27 |
| 1225647464 | James K Bueche Jr. | Social Worker | 29437 Highway 63, Ste. 14, Livingston, LA 70754 | 2020-07-23 |
| 1609425537 | Linda Henry | Registered Nurse | 29437 Highway 63, Ste. 14, Livingston, LA 70754 | 2019-09-04 |
| 1619539939 | Sommer Ebarb | Registered Nurse | 29437 Highway 63, Ste. 14, Livingston, LA 70754 | 2019-07-08 |
| 1528620846 | Cassandra Simpson | Registered Nurse | 29437 Highway 63, Ste. 14, Livingston, LA 70754 | 2019-07-08 |
| 1699195982 | Donna Barnes | Counselor | 29437 Highway 63, Ste. 14, Livingston, LA 70754 | 2014-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069953 | Brittany Comeaux | Speech-Language Pathologist | 29849 S Magnolia St, Livingston, LA 70754 | 2020-10-08 |
| 1306458575 | Georgia K Papizan | Licensed Practical Nurse | 13909 Florida Blve, Livingston, LA 70754 | 2020-08-19 |
| 1730708595 | Just Health | Clinic/Center | 20300 Government Blvd, Livingston, LA 70754 | 2020-04-13 |
| 1497244164 | Laura Ann Woods | Counselor | 29724 S. Magnolia St., Livingston, LA 70754 | 2018-05-08 |
| 1538685458 | Thrift Town Drugs LLC | Pharmacy | 29680 S Frost Rd, Livingston, LA 70754 | 2017-08-22 |
| 1982054714 | Aliah Esmaeili-taplin | Counselor | 29437 Hwy.63, Ste. 14, Livingston, LA 70754 | 2016-06-13 |
| 1427453745 | Elizabeth Ann Frazier | Nurse Practitioner | 28315 S. Frost Rd., Livingston, LA 70754 | 2014-10-29 |
| 1588081681 | Stewart Medical & Urgent Care, LLC | Clinic/Center | 29565 Hwy 63, Suite C, Livingston, LA 70754 | 2014-03-26 |
| 1861823379 | Primary Care Providers for A Healthy Feliciana Inc | Clinic/Center | 28315 S. Frost Rd, Livingston, LA 70754 | 2013-12-09 |
| 1801220405 | Tracey Larae Lehmann | Massage Therapist | 14098 Florida Blvd, Suite D, Livingston, LA 70754 | 2013-08-30 |
| Find all providers in zip 70754 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649804154 | Shawna Munson | Counselor | 1629 Us Highway 190 E, Livingston, TX 77351-4487 | 2020-02-24 |
| 1881156487 | Megan Fettig | Counselor | 202 S K St, Livingston, MT 59047-3206 | 2019-04-02 |
| 1184135824 | Vanessa Parrott Kyle | Counselor | 2108 U S Highway 190 W, Livingston, TX 77351-9602 | 2017-10-20 |
| 1164952123 | Kelly Appel Connell | Counselor | 2 W Northfield Rd Ste 212, Livingston, NJ 07039-3758 | 2017-06-13 |
| 1891158671 | Journey's Eve Counseling LLC | Counselor | 2 Northfield Rd, 210a, Livingston, NJ 07039 | 2016-03-30 |
| 1093171175 | Haley Nelson | Counselor | 124 S Main St # 208, Livingston, MT 59047-2664 | 2016-01-05 |
| 1023436870 | Erica N Cannedy | Counselor | 301 S Livingston Ave Ste 205d, Livingston, NJ 07039-3929 | 2014-03-30 |
| 1831525294 | Virginia Warner | Counselor | 119 1/2 W Park St, Suite 4, Livingston, MT 59047-2661 | 2013-09-17 |
| 1679819759 | Katherine D White | Counselor | 203 E Calhoun St, Livingston, TX 77351-2965 | 2012-12-18 |
| 1528317245 | Cindy Weiner | Counselor | 65 E Northfield Rd Ste D-1r, Livingston, NJ 07039-4231 | 2012-09-10 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 70754 |
Please comment or provide details below to improve the information on MRS. KRISTY LASHAWN DANDRIDGE-CLARK.
| 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.