ADRIENNE LEWIS BLEAKLEY (NPI# 1396192993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396192993 |
| Entity Type | Individual |
| Full Name | ADRIENNE LEWIS BLEAKLEY |
| Other Name | ADRIENNE LEWIS |
| Credential | M.A., PLPC |
| Practice Address |
1543 Grimmett Dr Shreveport LA 71107-6505 |
| Mailing Address |
7109 Pine Oak Ln Greenwood LA 71033-3377 |
| Practice Telephone | 3186265597 |
| Practice Fax Number | 3186265691 |
| Mailing Telephone | 3186136912 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2019-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PLC6676 | LA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2285 Benton Rd Ste 203, Bossier City, LA 711117933 | 3186136912 | 3186662294 |
| Street Address |
1543 GRIMMETT DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946822 | Edith Nelson | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2020-03-11 |
| 1659902377 | Marie Riggs | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2020-01-31 |
| 1619507316 | Charles Corder | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2020-01-22 |
| 1417587114 | Erica Gordon | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2020-01-22 |
| 1275163909 | Mark Miller | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2020-01-22 |
| 1700416443 | Jessica Rodgers | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2020-01-22 |
| 1972148757 | Amber Thomas | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2019-11-15 |
| 1760027262 | Amy Andrys | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2019-11-08 |
| 1669020822 | Kaitlyn Mosely | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2019-08-30 |
| 1043865892 | Janie Lemon | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2019-08-08 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409313 | Divine Behavioral Health, LLC | Counselor | 8870 Youree Dr Ste 105, Shreveport, LA 71115-2512 | 2020-08-25 |
| 1912519083 | Tashara D Williams | Counselor | 3615 Crestview Cir, Shreveport, LA 71119-6522 | 2020-08-20 |
| 1528689213 | Whitfield Counseling Services | Counselor | 2924 Knight St Ste 410, Shreveport, LA 71105-2413 | 2020-05-04 |
| 1376172908 | Lajuana Stephens | Counselor | 7318 Winder Dr, Shreveport, LA 71129-4013 | 2020-04-06 |
| 1417503723 | Beyond The Crossroads Counseling Center, LLC | Counselor | 3321 Youree Dr Ste E, Shreveport, LA 71105-2123 | 2019-08-13 |
| 1336702950 | Terrance Toney Sr. | Counselor | 272 E 78th St, Shreveport, LA 71106-5602 | 2019-04-18 |
| 1922564327 | Briana A Craige | Counselor | 6009 Financial Plz # 102, Shreveport, LA 71129-2615 | 2019-02-11 |
| 1518434182 | Road To Change | Counselor | 2620 Centenary Blvd Ste 204, Shreveport, LA 71104-3350 | 2018-10-31 |
| 1619455649 | Kindled Keys of Counseling, LLC | Counselor | 1737 Boykin Blvd, Shreveport, LA 71107-6108 | 2018-08-01 |
| 1174040646 | Khakillya Babers Everett | Counselor | 8214 Green Leaf Ln, Shreveport, LA 71108-5738 | 2017-08-25 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
Please comment or provide details below to improve the information on ADRIENNE LEWIS BLEAKLEY.
| 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.