KELEKIA MICHELLE BROOKS (NPI# 1629634498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629634498 |
| Entity Type | Individual |
| Full Name | KELEKIA MICHELLE BROOKS |
| Practice Address |
6685 Sullivan Rd Ste B Greenwell Springs LA 70739 |
| Mailing Address |
6685 Sullivan Rd Ste B Greenwell Springs LA 70739-3112 |
| Practice Telephone | 2252617143 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6685 Sullivan Rd Ste B, Greenwell Springs, LA 70739 | 2252617143 |
| Street Address |
6685 SULLIVAN RD STE B |
| City | GREENWELL SPRINGS |
| State | LA |
| Zip Code | 70739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791771 | Randall Devall | Case Manager/Care Coordinator | 6685 Sullivan Rd Ste B, Greenwell Springs, LA 70739-3112 | 2017-10-17 |
| 1083244610 | Sheri Mcgowan | Counselor | 6685 Sullivan Rd Ste B, Greenwell Springs, LA 70739-3112 | 2020-01-23 |
| 1467091264 | Brianna Lashay Hawkins | Counselor | 6685 Sullivan Rd Ste B, Greenwell Springs, LA 70739-3112 | 2019-12-27 |
| 1447898838 | Elliott Remond Beauchamp | Behavior Technician | 6685 Sullivan Rd Ste B, Greenwell Springs, LA 70739-3112 | 2019-12-16 |
| 1720635113 | Menley Rae Long | Counselor | 6685 Sullivan Rd Ste B, Greenwell Springs, LA 70739-3112 | 2019-08-21 |
| 1720630007 | Jovonda Fox | Case Manager/Care Coordinator | 6685 Sullivan Rd Ste B, Greenwell Springs, LA 70739-3112 | 2019-07-16 |
| 1114585288 | Donyella Renee Mcvay | Counselor | 6685 Sullivan Rd Ste B, Greenwell Springs, LA 70739-3112 | 2019-06-03 |
| 1053977173 | Tammy R Davis | Case Manager/Care Coordinator | 6685 Sullivan Rd Ste B, Greenwell Springs, LA 70739-3112 | 2019-05-14 |
| 1629553987 | Lydia Charlyn Johson | Counselor | 6685 Sullivan Rd Ste B, Greenwell Springs, LA 70739-3112 | 2018-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610849 | Dana A Galloway | Case Manager/Care Coordinator | Physicians Healthcare Organization, 6659 Sullivan Rd, Greenwell Springs, LA 70739 | 2018-12-10 |
| 1699286120 | Dwan Zenon Bickham | Social Worker | 6814 Silver Springs Dr., Greenwell Springs, LA 70739 | 2017-10-24 |
| 1770037616 | Deoneisha Horton | Counselor | 15813 Shetland Ave, Greenwell Springs, LA 70739 | 2016-08-09 |
| 1407059579 | Clara Hutson Wicker | Speech-Language Pathologist | 6411 Oak Cluster Drive, Greenwell Springs, LA 70739 | 2007-06-07 |
| 1265656599 | Gerard Jude Bossier | Dentist | 14127 Greenwell Springs Road, Greenwell Springs, AL 70739 | 2007-04-11 |
| 1073526281 | David Kevin Prudhome | Dentist | 16606 Greenwell Springs Rd, Greenwell Springs, LA 70739 | 2006-08-15 |
| 1144631094 | Kenneth Chapman I | Pharmacist | 10200 Sullivan Rd, Walmart, Greenwell Springs, LA 70739 | 2014-05-14 |
| 1083060735 | Jacqueline Juneau Milazzo | Registered Nurse | 7231 Frontier Dr, Greenwell Springs, LA 70739-3024 | 2016-05-12 |
| 1114548849 | Align Counseling, LLC | Social Worker | 12636 Lariat Ave, Greenwell Springs, LA 70739-3035 | 2020-05-05 |
| 1427153378 | Louisiana Cni, LLC | Intermediate Care Facility, Mentally Retarded | 12804 Pecos Ave, Greenwell Springs, LA 70739-3047 | 2006-09-14 |
| Find all providers in zip 70739 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336610849 | Dana A Galloway | Case Manager/Care Coordinator | Physicians Healthcare Organization, 6659 Sullivan Rd, Greenwell Springs, LA 70739 | 2018-12-10 |
| 1740791771 | Randall Devall | Case Manager/Care Coordinator | 6685 Sullivan Rd Ste B, Greenwell Springs, LA 70739-3112 | 2017-10-17 |
| 1720630007 | Jovonda Fox | Case Manager/Care Coordinator | 6685 Sullivan Rd Ste B, Greenwell Springs, LA 70739-3112 | 2019-07-16 |
| 1053977173 | Tammy R Davis | Case Manager/Care Coordinator | 6685 Sullivan Rd Ste B, Greenwell Springs, LA 70739-3112 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124762 | Mary Flemon | Case Manager/Care Coordinator | 733 Keyser Ave Ste 120, Natchitoches, LA 71457-0039 | 2020-11-02 |
| 1992305023 | Deonna Hawkins Jackson | Case Manager/Care Coordinator | 17616 Heritage Estates Dr, Baton Rouge, LA 70810-6579 | 2020-10-28 |
| 1306445713 | Beverly Jean Holmes | Case Manager/Care Coordinator | 9331 Foster Rd Apt C, Baton Rouge, LA 70811-2736 | 2020-10-19 |
| 1922606326 | Christie Hitchens | Case Manager/Care Coordinator | 1041 Chariot Dr, Baton Rouge, LA 70816-1842 | 2020-10-16 |
| 1134727514 | Shatiya Reshun Williams | Case Manager/Care Coordinator | 6121 Dauphine St, New Orleans, LA 70117-2109 | 2020-10-16 |
| 1750989190 | Bridgette Lynette Azoanee | Case Manager/Care Coordinator | 4119 Lake Sherwood Ave E, Baton Rouge, LA 70816-7322 | 2020-10-16 |
| 1447858923 | Ajona Lavallais | Case Manager/Care Coordinator | 521 Redbird Dr, Alexandria, LA 71303-3934 | 2020-10-15 |
| 1629676465 | Jessica Dennis | Case Manager/Care Coordinator | 2950 Chippewa St, Baton Rouge, LA 70805-8126 | 2020-10-14 |
| 1720686769 | Wyona Jordan | Case Manager/Care Coordinator | 6980 Saint Francis Ave, Baton Rouge, LA 70811-1419 | 2020-10-13 |
| 1043817331 | Wanda Frazier | Case Manager/Care Coordinator | 203 Robert Lee Cir, Lafayette, LA 70506-3130 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | GREENWELL SPRINGS |
| Zip Code | 70739 |
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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.