TRACIE THIBODEAUX (NPI# 1568819704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568819704 |
| Entity Type | Individual |
| Full Name | TRACIE THIBODEAUX |
| Practice Address |
9441 Common St Suite B Baton Rouge LA 70809-1463 |
| Practice Telephone | 2259233733 |
| Practice Fax Number | 2259233735 |
| Mailing Telephone | 2259233733 |
| Mailing Fax Number | 2259233735 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PLC6670 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 600964601 | 05 |
| Street Address |
9441 COMMON ST SUITE B |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770611444 | Extended Family Healthcare Services, LLC | Home Health | 9441 Common St, Baton Rouge, LA 70809 | 2007-03-02 |
| 1265969919 | Natasha James | Counselor | 9441 Common St, Suite B, Baton Rouge, LA 70809-1463 | 2017-05-12 |
| 1649628462 | Roneisha King | Counselor | 9441 Common St, Suite B, Baton Rouge, LA 70809-1463 | 2016-06-02 |
| 1861840688 | Leon Dugas | Counselor | 9441 Common St, Suite B, Baton Rouge, LA 70809-1463 | 2016-06-02 |
| 1164870226 | Dannielle Russell | Counselor | 9441 Common St, Suite B, Baton Rouge, LA 70809-1463 | 2016-05-31 |
| 1225483381 | Nathalie Ford | Counselor | 9441 Common St, Suite B, Baton Rouge, LA 70809-1463 | 2016-04-26 |
| 1396102802 | Vyonne Mcfarland | Counselor | 9441 Common St, Suite B, Baton Rouge, LA 70809 | 2016-01-28 |
| 1609051127 | Extended Family Healthcare Services | Community/Behavioral Health | 9441 Common St, B, Baton Rouge, LA 70809-1463 | 2008-01-03 |
| 1881805695 | Extended Family Healthcare Services LLC | Home Health | 9441 Common St, Suite B, Baton Rouge, LA 70809-1463 | 2007-05-24 |
| 1689885493 | Extended Family Healthcare Services LLC | Home Health | 9441 Common St, Suite B, Baton Rouge, LA 70809-1463 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160024 | Benjamin Ng | Counselor | 8758 Field Dr, Baton Rouge, LA 70809-2903 | 2020-10-07 |
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1578181814 | Angela Nicole Vaughn | Counselor | 7464 Board Dr, Baton Rouge, LA 70817-5311 | 2020-07-13 |
| 1487270393 | Joanna Sheppard | Counselor | 331 Grandpre St, Baton Rouge, LA 70802-5919 | 2020-06-17 |
| 1417579012 | Cl's Counseling and Consulting Firm, LLC | Counselor | 13969 Windwood Dr, Baton Rouge, LA 70816-1887 | 2020-05-18 |
| 1043830938 | Andrea Frank | Counselor | 2506 Mcgrath Ave Apt 16, Baton Rouge, LA 70806-5434 | 2020-04-21 |
| 1881214666 | Shetamian Wilson | Counselor | 4336 North Blvd Ste 208, Baton Rouge, LA 70806-3920 | 2020-04-21 |
| 1679108740 | Gracefully Purposed Counseling & Consulting, LLC | Counselor | 8542 Siegen Ln Ste 6, Baton Rouge, LA 70810-1940 | 2020-03-09 |
| 1588227623 | Melanie E Salles | Counselor | 2718 Toulon Dr, Baton Rouge, LA 70816-5120 | 2019-04-15 |
| 1275091514 | A T.r.u.t.h. 180 Health Services of Louisiana, LLC | Counselor | 1254 Central Rd, Baton Rouge, LA 70807-3820 | 2019-03-06 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on TRACIE THIBODEAUX.
| 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.