SYREETA BOUDREAUX (NPI# 1528620622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528620622 |
| Entity Type | Individual |
| Full Name | SYREETA BOUDREAUX |
| Practice Address |
1635 N Popps Ferry Rd Ste D Biloxi MS 39532-2312 |
| Mailing Address |
15305 Lisa Dr Biloxi MS 39532-5766 |
| Practice Telephone | 2282070725 |
| Mailing Telephone | 7065053579 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1635 N POPPS FERRY RD STE D |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655364 | Nurturing Hands | Counselor | 296 Beauvoir Rd Ste 100-156, Biloxi, MS 39531-4051 | 2020-10-05 |
| 1881049815 | Tanisha Phillips | Counselor | 240 Eisenhower Dr Ste C2, Biloxi, MS 39531-3649 | 2016-04-27 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1164676078 | April Krieger | Counselor | 2436 Pass Rd Ste C, Biloxi, MS 39531-2124 | 2008-11-05 |
| 1275553810 | Patrick A Evans | Counselor | 2486 Pass Rd, Biloxi, MS 39531-2838 | 2006-07-19 |
| 1114491362 | Ciara Nicole Huot | Counselor | 250 Beauvoir Rd Ste 5, Biloxi, MS 39531-4026 | 2019-01-21 |
| 1598230864 | Building Behaviors Counseling Services, LLC | Counselor | 240 Eisenhower Dr Ste C2, Biloxi, MS 39531-3649 | 2018-10-12 |
| 1114492956 | Mary Bergens Dodson | Counselor | 2620 Executive Pl, Biloxi, MS 39531-3717 | 2018-10-08 |
| 1689150344 | Monica Clark | Counselor | 1635 Popps Ferry Rd, Biloxi, MS 39532-2312 | 2018-07-16 |
| 1699263699 | Candis Lee | Counselor | 1989 Pass Rd, Biloxi, MS 39531-4103 | 2018-04-25 |
| Find all providers in BILOXI | ||||
Please comment or provide details below to improve the information on SYREETA BOUDREAUX.
| 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.