MS. LINDA ANDERSON PIVONT (NPI# 1457623530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457623530 |
| Entity Type | Individual |
| Full Name | MS. LINDA ANDERSON PIVONT |
| Credential | LAC |
| Practice Address |
1310 North Hearne Ave Shreveport LA 71107 |
| Mailing Address |
Po Box 7904 Shreveport LA 71137-7904 |
| Practice Telephone | 3186765111 |
| Practice Fax Number | 3186765137 |
| Mailing Telephone | 3186765111 |
| Mailing Fax Number | 3186765137 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1310 NORTH HEARNE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669756896 | Dennis Ray Richardson | Registered Nurse | 1310 North Hearne Ave, Shreveport, LA 71107 | 2011-10-06 |
| 1093066508 | Angela Christina Mann | Counselor | 1310 North Hearne Ave, Shreveport, LA 71107 | 2012-09-24 |
| 1619240132 | France-claire Christiane Hebert | Counselor | 1310 North Hearne Ave, Shreveport, LA 71107 | 2012-02-14 |
| 1922377720 | Monica V Bailes | Registered Nurse | 1310 North Hearne Ave, Shreveport, LA 71107 | 2011-12-22 |
| 1942585609 | Sam Anthony Medica | Social Worker | 1310 North Hearne Ave, Shreveport, LA 71107 | 2011-10-13 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019156 | Johnson Behavioral Health Group | Clinic/Center | 4830 Line Ave Ste 302, Shreveport, LA 71106-1530 | 2020-10-02 |
| 1104479799 | Families First Counseling and Wellness, LLC | Clinic/Center | 2020 Hollywood Ave, Shreveport, LA 71108-3920 | 2019-07-22 |
| 1174087530 | Jl Counseling | Clinic/Center | 1545 Line Ave Ste 320e, Shreveport, LA 71101-4630 | 2019-01-29 |
| 1568948396 | Scere's Mediation & Counseling Services | Clinic/Center | 610 Marshall St Ste 625, Shreveport, LA 71101-3652 | 2018-07-16 |
| 1700384831 | Zodiac Holding Group | Clinic/Center | 3611 Greenway Pl, Shreveport, LA 71105-2011 | 2018-01-23 |
| 1235539644 | Envision Counseling Services LLC | Clinic/Center | 7505 Pines Rd Ste 1230, Shreveport, LA 71129-3900 | 2014-09-04 |
| 1457773657 | Comprehensive Assessments, Inc. | Clinic/Center | 3010 Knight St, Suite 125, Shreveport, LA 71105-2553 | 2014-01-08 |
| 1366687527 | Northwest Cmhc, L.L.C. | Clinic/Center | 2121 Fairfield Ave, Suite 210/220, Shreveport, LA 71104-2057 | 2008-12-02 |
| 1598950370 | Renaissance Healthcare LLC | Clinic/Center | 3321 Youree Dr, Suite 100, Shreveport, LA 71105-2123 | 2007-09-13 |
| 1568534857 | Community Enrichment Programs LLC | Clinic/Center | 842 Margaret Pl, Shreveport, LA 71101-4521 | 2006-11-14 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
Please comment or provide details below to improve the information on MS. LINDA ANDERSON PIVONT.
| 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.