DR. ERIC GREEN (NPI# 1609366293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609366293 |
Entity Type | Individual |
Full Name | DR. ERIC GREEN |
Credential | PHD, LPC-S, RPT-S |
Practice Address |
119 Rue Fountaine Lafayette LA 70508-5744 |
Mailing Address |
323 Richland Ave Lafayette LA 70508-6612 |
Practice Telephone | 3372121342 |
Mailing Telephone | 3372121342 |
Enumeration Date | 2018-05-18 |
Last Update Date | 2018-05-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
S3087 | LA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
1669810610 | Eric A Green | Audiologist | 92 Broadway Ste B, Denville, NJ 07834-2733 | 2013-06-12 |
1467769588 | Eric Douglas Green | Pathology | Nih 31 Center Dr, Building 31, Room 4b09, Bethesda, MD 20892-0001 | 2010-09-10 |
1629391446 | Eric Ross Green | Specialist | Fairfax Road At Virginia St., Salt Lake City, UT 84103-4399 | 2010-03-08 |
1093326340 | Eric Neal Green | Registered Nurse | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-08-11 |
1548761547 | Eric Anthony Green | Peer Specialist | 401 S Tustin St Bldg C, Orange, CA 92866-2550 | 2018-02-24 |
1871011064 | Eric Demond Green | Driver | 90 Pine St, Shepherd, TX 77371 | 2017-09-07 |
1447796875 | Eric Green | Nurse Practitioner | 1520 N Division St, Blytheville, AR 72315-1448 | 2017-01-09 |
1316284706 | Eric Douglas Green | Rehabilitation Counselor | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2013-01-07 |
1235483793 | Eric L Green | Physical Therapy Assistant | 257 Sw Dade St, Madison, FL 32340-2361 | 2012-11-06 |
Street Address |
119 RUE FOUNTAINE |
City | LAFAYETTE |
State | LA |
Zip Code | 70508-5744 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972638005 | Lisa Ann Lincoln | Social Worker | 119 Rue Fountaine, Lafayette, LA 70508-5744 | 2007-02-22 |
1497005375 | Gastroenterology Clinics of Louisiana | Internal Medicine | 119 Rue Fountaine, Lafayette, LA 70508-5744 | 2012-09-18 |
1437437092 | Lisa Lincoln, LLC | Counselor | 119 Rue Fountaine, Lafayette, LA 70508 | 2011-08-01 |
1679869812 | Mental Health Management, LLC | Social Worker | 119 Rue Fountaine, Lafayette, LA 70508-5744 | 2011-06-27 |
1104068170 | Annie Wingate Spell | Psychologist | 119 Rue Fountaine, Lafayette, LA 70508-5744 | 2009-04-06 |
1831389741 | Psychiatric Associates of Southwest Louisiana | Nurse Practitioner | 119 Rue Fountaine, Lafayette, LA 70508-5744 | 2007-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
Find all providers in zip 70508 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972101293 | Dawn Deano | Counselor | 400 E Simpson St Ste 108, Lafayette, CO 80026-2359 | 2020-10-09 |
1689280174 | Amy Giles Arceneaux | Counselor | 850 Kaliste Saloom Rd Bldg Ste 204, Lafayette, LA 70508-4230 | 2020-09-20 |
1760095459 | Julie Giroir Galloway | Counselor | 4906 Ambassador Caffery Pkwy Bldg B, Lafayette, LA 70508-6962 | 2020-08-24 |
1497381339 | Joshua Thompson O'connor | Counselor | 412 W University Ave Ste 203, Lafayette, LA 70506-3673 | 2020-03-22 |
1255963971 | Alisha Denise Harrell | Counselor | 2550 Days Rd, Lafayette, TN 37083-5078 | 2020-02-11 |
1821637075 | Adam David Harris | Counselor | 655 Aspen Ridge Dr, Lafayette, CO 80026-9341 | 2020-01-04 |
1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
1255981726 | Jason Delahoussaye | Counselor | 1223 Camellia Blvd Ste 201, Lafayette, LA 70508-7220 | 2019-09-17 |
1417518341 | Kristen Nicole Neville | Counselor | 143 Ridgeway Dr # 201, Lafayette, LA 70503-3414 | 2019-06-21 |
1528623980 | Jason Bailey | Counselor | 1921 Dulles Dr, Lafayette, LA 70506-2716 | 2019-05-01 |
Find all providers in LAFAYETTE |
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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.