MS. CHARLENE LOGAN TAYLOR (NPI# 1518255090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518255090 |
| Entity Type | Individual |
| Full Name | MS. CHARLENE LOGAN TAYLOR |
| Credential | LPC |
| Practice Address |
820 Jordan St Suite 485 Shreveport LA 71101-4518 |
| Practice Telephone | 3184245001 |
| Practice Fax Number | 3184245007 |
| Mailing Telephone | 3184245001 |
| Mailing Fax Number | 3184245007 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2898 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285614990 | Charlene Gwen Taylor | Physician Assistant | 1852 Oconnell Blvd, Bldg 1042, Colorado Springs, CO 80913-4054 | 2006-01-19 |
| 1649694704 | Charlene Taylor | Counselor | 4149 N Holland Sylvania Rd, Suite 8, Sylvania Township, OH 43623-4808 | 2014-02-10 |
| 1376650515 | Charlene M Taylor | Audiologist | 3017 13th St, Gulfport, MS 39501-1833 | 2006-08-24 |
| Street Address |
820 JORDAN ST SUITE 485 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235139098 | Red River Orthotic Specialists, LLC | Prosthetic/Orthotic Supplier | 820 Jordan St, Suite 110, Shreveport, LA 71101-4518 | 2005-07-22 |
| 1396269171 | Ulissa Samone Edwards | Counselor | 820 Jordan St, Shreveport, LA 71101-4518 | 2017-08-02 |
| 1154845196 | Kelvin Wayne Latson | Counselor | 820 Jordan St, Shreveport, LA 71101-4518 | 2017-08-01 |
| 1033633201 | Monica Burns | Counselor | 820 Jordan St, Ste. 507, Shreveport, LA 71104 | 2017-07-31 |
| 1811410376 | Aaliyah Janee' Watkins | Counselor | 820 Jordan St, Shreveport, LA 71101-4518 | 2017-07-17 |
| 1275983363 | Morris Crichlow | Counselor | 820 Jordan St, Suite 204, Shreveport, LA 71101-4518 | 2016-06-20 |
| 1730536202 | Innerlight Wellness, LLC | Counselor | 820 Jordan St, Suite 204, Shreveport, LA 71101-4518 | 2016-05-15 |
| 1548661440 | Tiffany Alyce Roe | Nurse Practitioner | 820 Jordan St, Suite 201, Shreveport, LA 71101-4518 | 2014-09-10 |
| 1861812307 | Carol Hamilton Brill | Counselor | 820 Jordan St, Suite 510-c, Shreveport, LA 71101-4518 | 2014-04-23 |
| 1659701209 | Latoya Houston | Nurse Practitioner | 820 Jordan St, Suite 501, Shreveport, LA 71101-4518 | 2013-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409313 | Divine Behavioral Health, LLC | Counselor | 8870 Youree Dr Ste 105, Shreveport, LA 71115-2512 | 2020-08-25 |
| 1912519083 | Tashara D Williams | Counselor | 3615 Crestview Cir, Shreveport, LA 71119-6522 | 2020-08-20 |
| 1528689213 | Whitfield Counseling Services | Counselor | 2924 Knight St Ste 410, Shreveport, LA 71105-2413 | 2020-05-04 |
| 1376172908 | Lajuana Stephens | Counselor | 7318 Winder Dr, Shreveport, LA 71129-4013 | 2020-04-06 |
| 1417503723 | Beyond The Crossroads Counseling Center, LLC | Counselor | 3321 Youree Dr Ste E, Shreveport, LA 71105-2123 | 2019-08-13 |
| 1336702950 | Terrance Toney Sr. | Counselor | 272 E 78th St, Shreveport, LA 71106-5602 | 2019-04-18 |
| 1922564327 | Briana A Craige | Counselor | 6009 Financial Plz # 102, Shreveport, LA 71129-2615 | 2019-02-11 |
| 1518434182 | Road To Change | Counselor | 2620 Centenary Blvd Ste 204, Shreveport, LA 71104-3350 | 2018-10-31 |
| 1619455649 | Kindled Keys of Counseling, LLC | Counselor | 1737 Boykin Blvd, Shreveport, LA 71107-6108 | 2018-08-01 |
| 1174040646 | Khakillya Babers Everett | Counselor | 8214 Green Leaf Ln, Shreveport, LA 71108-5738 | 2017-08-25 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on MS. CHARLENE LOGAN TAYLOR.
| 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.