BRYCE MOORE (NPI# 1619423530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619423530 |
| Entity Type | Individual |
| Full Name | BRYCE MOORE |
| Practice Address |
710 Versailles Blvd Alexandria LA 71303 |
| Mailing Address |
2200 Veterans Blvd Kenner LA 70062 |
| Practice Telephone | 5043054704 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
710 VERSAILLES BLVD |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124081831 | Mid- State Home Health Agency Inc | Home Health | 710 Versailles Blvd, Alexandria, LA 71303-2351 | 2006-04-11 |
| 1629677620 | Darnel Raeshawn Winns | Case Manager/Care Coordinator | 710 Versailles Blvd, Alexandria, LA 71303-2351 | 2020-10-21 |
| 1992310635 | Kerstian Danyelle Stanley | Case Manager/Care Coordinator | 710 Versailles Blvd, Alexandria, LA 71303-2351 | 2020-09-10 |
| 1396361002 | Catherine Ann Rachal | Case Manager/Care Coordinator | 710 Versailles Blvd, Alexandria, LA 71303-2351 | 2020-06-18 |
| 1346863859 | Rachel Nicole Lavergne | Case Manager/Care Coordinator | 710 Versailles Blvd, Alexandria, LA 71303-2351 | 2020-05-19 |
| 1841825353 | Tamekia Lashawne Frazier | Case Manager/Care Coordinator | 710 Versailles Blvd, Alexandria, LA 71303-2351 | 2020-03-04 |
| 1629602990 | Mary D Sampson | Case Manager/Care Coordinator | 710 Versailles Blvd, Alexandria, LA 71303-2351 | 2020-02-26 |
| 1669010203 | David Ryan Asbury | Case Manager/Care Coordinator | 710 Versailles Blvd, Alexandria, LA 71303-2351 | 2019-12-13 |
| 1396382768 | Ashley Cleveland Madrid | Counselor | 710 Versailles Blvd, Alexandria, LA 71303-2351 | 2019-12-04 |
| 1861033045 | Eric Charles Tagliarino | Case Manager/Care Coordinator | 710 Versailles Blvd, Alexandria, LA 71303-2351 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669140 | Mishawn Glover | Counselor | 2020 S Washington Street, Alexandria, VA 22114 | 2020-11-02 |
| 1700406204 | Matilde Beisso | Counselor | 5300 Holmes Run Pkwy Apt 307, Alexandria, VA 22304-2838 | 2020-04-24 |
| 1790310548 | Shawn Denise Singleton | Counselor | 3600 Jackson St Ste 1118, Alexandria, LA 71303-3040 | 2020-03-11 |
| 1184257271 | Brianchelle Taraneka Batiste | Counselor | 3600 Jackson Street, Alexandria, LA 71302 | 2020-02-17 |
| 1326688763 | Kristina Jorden | Counselor | 2 Herbert St, Alexandria, VA 22305-2628 | 2020-01-14 |
| 1194370940 | Maya Arth | Counselor | 4480 King St Fl 5, Alexandria, VA 22302-1339 | 2019-08-08 |
| 1356995898 | Tika Trotter-mason | Counselor | 1900 N Beauregard Street, Alexandria, VA 22311 | 2019-08-01 |
| 1093367096 | Shannon Rae Birkner | Counselor | 5695 King Centre Dr Ste B101, Alexandria, VA 22315-5747 | 2019-07-10 |
| 1093377558 | Sagan Marie King | Counselor | 782 N Howard St Apt 403, Alexandria, VA 22304-5423 | 2019-07-05 |
| 1578024766 | Ebony Griffin | Counselor | 4328 Duke St, Alexandria, VA 22304-2528 | 2019-03-29 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on BRYCE MOORE.
| 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.