ELLIOT BROCK (NPI# 1477094969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477094969 |
| Entity Type | Individual |
| Full Name | ELLIOT BROCK |
| Practice Address |
835 Pride Dr Ste B Hammond LA 70401-9527 |
| Practice Telephone | 9855434730 |
| Practice Fax Number | 9855434752 |
| Mailing Telephone | 9855434730 |
| Mailing Fax Number | 9855434752 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
835 PRIDE DR STE B |
| City | HAMMOND |
| State | LA |
| Zip Code | 70401-9527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265459234 | Ann J. Arretteig | Psychiatry & Neurology | 835 Pride Dr Ste B, Hammond, LA 70401-9527 | 2006-07-16 |
| 1073126959 | Jamie L Arnold | Peer Specialist | 835 Pride Dr Ste B, Hammond, LA 70401-9527 | 2020-08-28 |
| 1942813274 | Heather Gernold | Counselor | 835 Pride Dr Ste B, Hammond, LA 70401-9527 | 2020-08-26 |
| 1508475302 | Dineisha Day | Social Worker | 835 Pride Dr Ste B, Hammond, LA 70401-9527 | 2020-07-28 |
| 1972148013 | Mary Theresa Rafferty | Social Worker | 835 Pride Dr Ste B, Hammond, LA 70401-9527 | 2019-11-13 |
| 1962052407 | Stephen L Menendez | Registered Nurse | 835 Pride Dr Ste B, Hammond, LA 70401-9527 | 2019-09-17 |
| 1780234336 | Kathryn Langley Thibodeaux | Licensed Practical Nurse | 835 Pride Dr Ste B, Hammond, LA 70401-9527 | 2019-09-16 |
| 1003466657 | Margaret Annette Blue | Licensed Practical Nurse | 835 Pride Dr Ste B, Hammond, LA 70401-9527 | 2019-09-16 |
| 1548817166 | Trisha Crawley | Licensed Practical Nurse | 835 Pride Dr Ste B, Hammond, LA 70401-9527 | 2019-08-19 |
| 1679128292 | Florida Parishes Human Services Authority | Clinic/Center | 835 Pride Dr Ste B, Hammond, LA 70401-9527 | 2019-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1689200826 | Thomas Michael Nedow | Specialist/Technologist | 500 W University Avenue, Hammond, LA 70401 | 2020-03-19 |
| 1861025041 | Jonte Bernard | Specialist/Technologist | 1150 N General Pershing, Hammond, LA 70401 | 2020-02-17 |
| 1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
| 1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
| 1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
| 1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
| 1598243412 | Brooke Lynn Boggs | Preventive Medicine | 800 North Hazel St., Hammond, LA 70401 | 2018-08-02 |
| 1811499197 | Ashley Daytora Cohn | Counselor | 15043 Woodstone Dr Apt 226, Hammond, LA 70401 | 2018-03-02 |
| 1790207645 | Angela D Dillon | Counselor | 12261 Patrina Ln, Hammond, LA 70401 | 2017-07-12 |
| Find all providers in zip 70401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323214 | Scott Moran | Counselor | 902 C M Fagan Dr Ste F, Hammond, LA 70403-6043 | 2020-07-14 |
| 1760979272 | Susan Foster | Counselor | 607 E Morris Ave, Hammond, LA 70403-4353 | 2018-04-19 |
| 1003335001 | Lucas Alexander Westphal | Counselor | 906 Cm Fagan Dr., Suite B3, Hammond, LA 70403 | 2017-09-12 |
| 1386172088 | Judith W Reedy | Counselor | 1250 Sw Railroad Ave Ste 170, Hammond, LA 70403-5011 | 2017-05-25 |
| 1932648433 | Heather Foster | Counselor | 902 Cm Fagan Dr, Suite B, Hammond, LA 70403-4942 | 2017-02-16 |
| 1619329141 | Colisha Holmes | Counselor | 15655 Becky Ln, Hammond, LA 70401-7270 | 2016-07-08 |
| 1568848430 | Tiffany Edwards I | Counselor | 42334 Deluxe Plaza Suite 2, Hammond, LA 70403 | 2015-08-03 |
| 1598189896 | Brittney Reason | Counselor | 206 1/2 E Thomas St, Hammond, LA 70401-3316 | 2014-02-07 |
| 1659621993 | Jolyn Schexnydre | Counselor | 707 South Spruce Street, Hammond, LA 70403 | 2012-09-13 |
| 1104173145 | Hollander Counseling & Consulting | Counselor | 509 E Thomas St, Hammond, LA 70401-3321 | 2012-08-09 |
| Find all providers in HAMMOND | ||||
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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.