MR. JOHNNY LEE O'BRYANT II (NPI# 1417315946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417315946 |
| Entity Type | Individual |
| Full Name | MR. JOHNNY LEE O'BRYANT II |
| Other Name | MR. JOHNNY LEE O'BRYANT II |
| Credential | CIT 3419 3/19/16 |
| Practice Address |
4255 E Brookstown Dr Baton Rouge LA 70805-4603 |
| Practice Telephone | 2259270770 |
| Practice Fax Number | 2259270771 |
| Mailing Telephone | 2259270770 |
| Mailing Fax Number | 2259270771 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CIT 3419 | LA | Behavioral Health & Social Service Providers |
| Street Address |
4255 E BROOKSTOWN DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70805-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013289974 | Louisiana Health and Rehab Center Inc | Community/Behavioral Health | 4255 E Brookstown Dr, Baton Rouge, LA 70805-4603 | 2012-02-07 |
| 1437764784 | Louisiana Health & Rehabilitation Coptions | Respite Care | 4255 E Brookstown Dr, Baton Rouge, LA 70805-4603 | 2020-09-14 |
| 1033693189 | Alexander Joseph Merkle | Counselor | 4255 E Brookstown Dr, Baton Rouge, LA 70805-4603 | 2018-09-24 |
| 1871951079 | Shawne Langston | Counselor | 4255 E Brookstown Dr, Baton Rouge, LA 70805-4603 | 2016-02-02 |
| 1881051878 | Eden Mitchell | Counselor | 4255 E Brookstown Dr, Baton Rouge, LA 70805-4603 | 2016-01-21 |
| 1881051993 | Monica Miceli | Counselor | 4255 E Brookstown Dr, Baton Rouge, LA 70805-4603 | 2016-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481445 | Upgrade Group Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3719 Katherine Ave, 3719 Katherine Ave, Baton Rouge, LA 70805 | 2019-11-13 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1093234783 | Omar Feme Braggs I | Counselor | 3973 Choctaw Drive, Baton Rouge, LA 70805 | 2017-09-13 |
| 1558883116 | Jeffrey Williams | Counselor | 3456 Eaton Street, Baton Rouge, LA 70805 | 2017-07-14 |
| 1215466628 | Angel Danielle Morgan | Counselor | 3540 Ontario St., Baton Rouge, LA 70805 | 2017-06-08 |
| 1376904151 | Mama's Medical Transportation | Non-emergency Medical Transport (VAN) | 2727 North Ardenwood Dr., Baton Rouge, LA 70805 | 2016-03-08 |
| 1013389105 | Tiffany Thomas | Counselor | 8325 Kelwood Avenue, Baton Rouge, LA 70805 | 2015-10-28 |
| 1366823395 | Travia Linette Washington | Community Health Worker | 2959 Sherwood St, Baton Rouge, LA 70805 | 2015-06-16 |
| 1295000164 | Capital Area Human Services District | Substance Abuse Rehabilitation Facility | 2455 Wooddale Blvd., Baton Rouge, LA 70805 | 2012-03-12 |
| 1427332238 | Carl P Thibodeaux | Pharmacist | 5889 Airline Highway, Baton Rouge, LA 70805 | 2011-09-29 |
| Find all providers in zip 70805 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416060 | Renovo Wellness, LLC | Counselor | 10771 Perkins Rd Ste C, Baton Rouge, LA 70810-1693 | 2020-04-17 |
| 1316573157 | Gregory Mitchell | Counselor | 9864 Big Bend Ave, Baton Rouge, LA 70814-4303 | 2020-03-12 |
| 1528614625 | Vital Transitions Behavioral Healthcare Inc. | Counselor | 4021 We Heck Ct Ste L1, Baton Rouge, LA 70816-0416 | 2019-08-14 |
| 1972164481 | Debra A Thomas | Counselor | 1231 Laurel St, Baton Rouge, LA 70802-4645 | 2019-06-25 |
| 1437719432 | Karla Rene Alexander | Counselor | 446 N 12th St, Baton Rouge, LA 70802-4613 | 2019-06-20 |
| 1174088660 | Cory Woodson | Counselor | 13675 Coursey Blvd Apt 231, Baton Rouge, LA 70817-1347 | 2019-02-08 |
| 1831654532 | Whitley Marie Ladner | Counselor | 940 E Tom Stokes Ct, Baton Rouge, LA 70810-3175 | 2019-02-06 |
| 1407326085 | Rosalyn N Davis | Counselor | 216 S. Foster, Baton Rouge, LA 70806 | 2018-11-27 |
| 1629548276 | Darcy Marie Anderson | Counselor | 216 South Foster Dr, Baton Rouge, LA 70806 | 2018-11-27 |
| 1316422280 | Sarah Louise Raines | Counselor | 918 Rossmore Ave, Baton Rouge, LA 70810-4675 | 2018-09-26 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70805 |
Please comment or provide details below to improve the information on MR. JOHNNY LEE O'BRYANT II.
| 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.