MS. CAROLYN DISHMAN (NPI# 1528413440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528413440 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN DISHMAN |
| Other Name | MS. CAROLYN DISHMAN |
| Credential | LAC |
| Practice Address |
5 Security Blvd Ste F Houma LA 70360-2780 |
| Mailing Address |
1647 Savanne Rd Houma LA 70360-8907 |
| Practice Telephone | 9857099147 |
| Practice Fax Number | 9858765551 |
| Mailing Telephone | 9858557769 |
| Mailing Fax Number | 9858765551 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LAC 636 | LA | Behavioral Health & Social Service Providers |
| Street Address |
5 SECURITY BLVD STE F |
| City | HOUMA |
| State | LA |
| Zip Code | 70360-2780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245317718 | Virginia Pellegrin | Counselor | 5 Security Blvd Ste F, Houma, LA 70360-2780 | 2006-11-01 |
| 1114410289 | Karen T Boudreaux | Counselor | 5 Security Blvd Ste F, Houma, LA 70360-2780 | 2018-06-12 |
| 1982956488 | Kimberly Mcelroy | Community/Behavioral Health | 5 Security Blvd Ste F, Houma, LA 70360-2780 | 2012-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
| 1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
| Find all providers in zip 70360 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447595558 | Amanda Lynn Barras | Counselor | 5593 Highway 311, Houma, LA 70360-2866 | 2012-11-29 |
| 1902191851 | Claire Waguespack | Counselor | 5599 Hwy 311, Houma, LA 70360 | 2011-06-17 |
| 1649576182 | Elizabeth Daigle | Counselor | 158 Regal Row, Houma, LA 70360-6097 | 2011-02-01 |
| 1942481049 | Brett L Matherne | Counselor | 214 Hight St, Houma, LA 70361 | 2007-11-16 |
| 1265457428 | Timothy Butler | Counselor | 205 Lake Penchant Ct, Houma, LA 70360-8324 | 2006-07-12 |
| 1144820556 | Reginald Owens | Counselor | 214 High St, Houma, LA 70360-4538 | 2020-10-27 |
| 1578196424 | Beacon Behavioral Hospital Inc | Counselor | 5789 Highway 311 Ste 2, Houma, LA 70360-5581 | 2020-02-19 |
| 1992109581 | Ayesha Hester | Counselor | 5599 Highway 311, Houma, LA 70360-2866 | 2014-10-10 |
| 1730452772 | Misty A Robichaux | Counselor | 1340 W Tunnel Blvd Ste 212, Houma, LA 70360-2818 | 2012-02-22 |
| 1043525058 | Ingrid Bradford | Counselor | 521 Legion Ave, Houma, LA 70364-3339 | 2010-08-13 |
| Find all providers in HOUMA | ||||
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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.