THE KENNEDY CENTER OF LOUISIANA INC (NPI# 1619304755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619304755 |
| Entity Type | Organization |
| Organization Name | THE KENNEDY CENTER OF LOUISIANA INC |
| Practice Address |
809 College St Shreveport LA 71104-2113 |
| Practice Telephone | 3186751112 |
| Practice Fax Number | 8663079980 |
| Mailing Telephone | 3186751112 |
| Mailing Fax Number | 8663079980 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |
| Authorized Official Name | MS. TONYA V WILLIAMS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3186751112 |
| Authorized Official Credential | LPC - LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 15886 | LA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417384025 | The Kennedy Center of Louisiana Inc | Community/Behavioral Health | 809 College St, Shreveport, LA 71104-2113 | 2013-09-27 |
| Street Address |
809 COLLEGE ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417384025 | The Kennedy Center of Louisiana Inc | Community/Behavioral Health | 809 College St, Shreveport, LA 71104-2113 | 2013-09-27 |
| 1730657883 | Bonne Fete Maternity | Clinic/Center | 809 College St, Shreveport, LA 71104-2113 | 2018-11-07 |
| 1164921177 | Jaime L Wessler | Midwife | 809 College St, Shreveport, LA 71104-2113 | 2018-02-05 |
| 1588010193 | Magnolia Family Support & Interventions, LLC | Community/Behavioral Health | 809 College St, Shreveport, LA 71104-2113 | 2016-05-12 |
| 1003288903 | Malvanese Williams | Counselor | 809 College St, Shreveport, LA 71104-2928 | 2015-10-30 |
| 1871920983 | Tonya V Wright Williams | Counselor | 809 College St, Shreveport, LA 71104-2113 | 2013-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235640 | A Life Choice for Personal Enhancement, LLC | Foster Care Agency | 401 Whitney Ave Ste 135, Gretna, LA 70056-2577 | 2018-12-03 |
| 1235656950 | House of Love, LLC | Foster Care Agency | 905 Davenport Ave, Bogalusa, LA 70427 | 2017-08-23 |
| 1164888293 | Louisiana United Methodist Children & Family Services, Inc | Foster Care Agency | 3101 Armand St., Suite 1, Monroe, LA 71201 | 2016-01-05 |
| 1912374604 | Pinnacle Family Services of Louisiana, LLC | Foster Care Agency | 2902 Evangeline St, Monroe, LA 71201-3724 | 2015-08-28 |
| 1720467327 | Department of Children and Family Services | Foster Care Agency | 627 N 4th St, Baton Rouge, LA 70802-5343 | 2015-05-28 |
| 1487914925 | Acadiana Youth, Inc. | Foster Care Agency | 1000 E Willow St, Lafayette, LA 70501-3140 | 2012-05-17 |
| 1205109865 | Macdonell United Methodist Children's Services, Inc | Foster Care Agency | 8326 Main St, Houma, LA 70363-4871 | 2012-02-13 |
| 1629357926 | Building A Better 2morrow | Foster Care Agency | 2548 Jeanne St, Marrero, LA 70072-6440 | 2011-08-04 |
| 1043531312 | Gulf Coast Teaching Family Services, Inc. | Foster Care Agency | 320 Progressive Blvd, Houma, LA 70360-4069 | 2010-06-21 |
| 1487299715 | National Youth Advocate Program, Inc | Foster Care Agency | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2019-11-11 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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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.