MRS. FAWN FANDAL (NPI# 1427540509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427540509 |
| Entity Type | Individual |
| Full Name | MRS. FAWN FANDAL |
| Credential | MA, PLPC |
| Practice Address |
1310 Brownswitch Rd Ste D Slidell LA 70461-1611 |
| Mailing Address |
14400 Lake Tahoe Dr Covington LA 70433-6951 |
| Practice Telephone | 9857744643 |
| Practice Fax Number | 9852885405 |
| Mailing Telephone | 9857744643 |
| Mailing Fax Number | 9852885405 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 7417 | LA | Behavioral Health & Social Service Providers |
| Street Address |
1310 BROWNSWITCH RD STE D |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402534 | Mary Emilie Hotard | Counselor | 1537 3rd St, Slidell, LA 70458-2701 | 2018-10-02 |
| 1700361854 | Connell Mosley Sr. | Counselor | 966 Maple Creek Dr, Slidell, LA 70461-5340 | 2018-09-25 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1720586589 | Roberta Arnold Parks | Counselor | 1339 Englewood Dr, Slidell, LA 70458-3009 | 2018-01-26 |
| 1841737806 | Crysean Clavelle | Counselor | 132 Howse Beach Rd., Slidell, LA 70458 | 2017-01-27 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| 1326405689 | Shane Valure | Counselor | 118 Village St Ste A, Slidell, LA 70458-5302 | 2016-01-18 |
| 1932564341 | Ellen Michel | Counselor | 1301 Brownswitch Rd Ste B, Slidell, LA 70461-1695 | 2015-12-30 |
| 1467825687 | Breonna Lee Polk | Counselor | 106 Smart Pl Ste B, Slidell, LA 70458 | 2015-11-10 |
| 1982076428 | Amanda Roby | Counselor | 555 Lenwood Dr, Slidell, LA 70458-1221 | 2015-10-23 |
| Find all providers in SLIDELL | ||||
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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.