MR. MARION PATRICK HAZELTON I (NPI# 1508384587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508384587 |
| Entity Type | Individual |
| Full Name | MR. MARION PATRICK HAZELTON I |
| Credential | PLPC |
| Practice Address |
Pathways Red River Treatment Center 242 West Shamrock Ave Unit 6 Melody Lane Pineville LA 71360 |
| Mailing Address |
1800 Community Clinton MO 64735-8804 |
| Practice Telephone | 3184415900 |
| Mailing Telephone | 6608858131 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2018-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7155 | LA | Behavioral Health & Social Service Providers |
| Street Address |
PATHWAYS RED RIVER TREATMENT CENTER 242 WEST SHAMROCK AVE UNIT 6 MELODY LANE |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| 1215471180 | Bayou Mental Health Services,llc | Community/Behavioral Health | 818 Maint St Ste A, Pineville, LA 71360 | 2016-12-13 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550207 | Louisiana Care Partners,llc | Counselor | 2834 Military Highway, Pineville, LA 71360-0180 | 2020-05-25 |
| 1023676350 | Marcus Antoine Lalonde | Counselor | 2834 Military Hwy, Pineville, LA 71360-4337 | 2019-06-01 |
| 1164904017 | Bradley Levi Smith | Counselor | 303 Hermitage Rd, Pineville, LA 71360-2623 | 2018-09-06 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1396234811 | Samia Jada | Counselor | 210 Laurel St, Pineville, LA 71360-4662 | 2018-05-10 |
| 1154790541 | Trucare Transportation | Counselor | 124 Hickory St, Pineville, LA 71360-6735 | 2015-09-16 |
| 1154694461 | Patricia Sheffield Harris | Counselor | 1150 Jr High Rd, Pineville, LA 71405-3978 | 2012-02-16 |
| 1437454550 | Myron Bryant | Counselor | 2901 Highway 28 E, Suite E, Pineville, LA 71360-5773 | 2011-01-20 |
| 1316172927 | Robert P Lewinski | Counselor | 705 Lakeview Dr, Pineville, NC 28134-7575 | 2009-05-27 |
| 1740482462 | Teri-lea Coscia Fahey | Counselor | 12107 Autumn Winds Ln, Pineville, NC 28134-9238 | 2007-06-04 |
| Find all providers in PINEVILLE | ||||
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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.