MS. CICELLA LORINE BENTON (NPI# 1417486895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417486895 |
| Entity Type | Individual |
| Full Name | MS. CICELLA LORINE BENTON |
| Credential | BACHELORS DEGREE |
| Practice Address |
3327 Grant St Baker LA 70714 |
| Mailing Address |
3327 Grant St Baker LA 70714-3413 |
| Practice Telephone | (225) 281-5899 |
| Mailing Telephone | 2252815899 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LA | Behavioral Health & Social Service Providers |
| Street Address |
3327 GRANT ST |
| City | BAKER |
| State | LA |
| Zip Code | 70714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710406574 | Chasity Davis | Counselor | 12753 Plank Rd Apt 32, Baker, LA 70714 | 2017-09-13 |
| 1447782594 | I Know I Can Speech-language Therapy Services | Early Intervention Provider Agency | 7206 Juno Drive, Baker, LA 70714 | 2017-03-29 |
| 1265880488 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3622 Groom Road, Baker, LA 70714 | 2016-05-27 |
| 1013363241 | Micon Gaines | Counselor | 4206 N. Morvant Pl., Baker, LA 70714 | 2016-05-06 |
| 1932564549 | Clifton Hunt | Case Manager/Care Coordinator | 3276 Jackson St, Baker, LA 70714 | 2015-12-24 |
| 1992174833 | A Loving Heart Medical Transportation,llc | Non-emergency Medical Transport (VAN) | 5401 Rue Nicole, Baker, LA 70714 | 2015-09-22 |
| 1174927685 | Unique Healthcare Options | Clinic/Center | 1877 Heck Young Rd, Baker, LA 70714 | 2014-10-13 |
| 1972934263 | Freds Stores of Tennessee Inc | Pharmacy | 312 Main Street Hwy 19, Baker, LA 70714 | 2013-12-11 |
| 1245665157 | Cope Behavior Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 4425 Groom Road, Suite B, Baker, LA 70714 | 2013-09-10 |
| 1861744070 | Brighter Beginnings Mentorship Program | Community/Behavioral Health | 4425 Suite B Groom Road, Baker, LA 70714 | 2012-10-11 |
| Find all providers in zip 70714 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673258 | Benjamin R Taylor Jr. | Counselor | 8728 Waters Edge Ave, Baker, LA 70714-6443 | 2020-09-10 |
| 1992342356 | Decondie Spears | Counselor | 13930 Blairstown Dr, Baker, LA 70714-5404 | 2019-12-04 |
| 1710406574 | Chasity Davis | Counselor | 12753 Plank Rd Apt 32, Baker, LA 70714 | 2017-09-13 |
| 1639692668 | Cody Marshall | Counselor | 2942 Ray Weiland Dr, Baker, LA 70714-3250 | 2017-07-21 |
| 1265955306 | Gaynell J Hornsby | Counselor | 6033 Stoneview Ave, Baker, LA 70714-5528 | 2017-07-20 |
| 1457883548 | Eneidra Wells | Counselor | 2020 Faith Ave, Baker, LA 70714-1504 | 2017-03-29 |
| 1215475975 | Tony Pryer | Counselor | 2944 Ray Weiland Dr # 6362638, Baker, LA 70714-3250 | 2017-02-02 |
| 1396280558 | Lawndricka Eby | Counselor | 415 Cypress Dr, Baker, LA 70714-3305 | 2016-12-27 |
| 1891241659 | Christy Graves | Counselor | 808 Kennon Dr, Baker, LA 70714-5324 | 2016-08-31 |
| 1013363241 | Micon Gaines | Counselor | 4206 N. Morvant Pl., Baker, LA 70714 | 2016-05-06 |
| Find all providers in BAKER | ||||
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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.