STREET OUTREACH SOLUTIONS,LLC (NPI# 1669918199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669918199 |
| Entity Type | Organization |
| Organization Name | STREET OUTREACH SOLUTIONS,LLC |
| Other Organization Name | N/A |
| Practice Address |
2715 Mackey Pl Ste 119 Shreveport LA 71118-2527 |
| Practice Telephone | 3183935407 |
| Mailing Telephone | 3187717707 |
| Enumeration Date | 2017-01-08 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | MRS. MAR'DOSHA PEEK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3187717707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | LA | Agencies |
| Other Name | Type Code |
|---|---|
| n/a | Former Legal Business Name - Organization |
| Street Address |
2715 MACKEY PL STE 119 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720610306 | Spencer Cook | Case Manager/Care Coordinator | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2020-02-11 |
| 1922578376 | Tremond Smith | Case Manager/Care Coordinator | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2018-11-28 |
| 1447729405 | Aqunina Nunsant | Case Manager/Care Coordinator | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2018-11-20 |
| 1750850749 | Latoya Lewis | Case Manager/Care Coordinator | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2018-11-19 |
| 1912476904 | Chasity O'neal | Case Manager/Care Coordinator | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2018-11-19 |
| 1326529447 | Terrika Johnson-dyer | Counselor | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2018-08-27 |
| 1912484767 | Trameceya Delaney | Counselor | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2018-07-24 |
| 1528572401 | Natalie N Price | Counselor | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2017-11-30 |
| 1952812885 | Candice Cook | Counselor | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2017-10-18 |
| 1720598410 | Shamoindra Manning | Counselor | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2017-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558926113 | Renew Therapeutic Services, LLC | Community/Behavioral Health | 2924 Knight St Ste 424, Shreveport, LA 71105-2413 | 2019-05-08 |
| 1053818641 | Agape Love Counseling Service LLC | Community/Behavioral Health | 1513 Line Ave Ste 240, Shreveport, LA 71101-4621 | 2018-04-10 |
| 1851891865 | Magnolia Mental Health LLC | Community/Behavioral Health | 7629 Pines Rd, Shreveport, LA 71129-3905 | 2018-02-15 |
| 1891202776 | Allcare of Louisiana, Inc. | Community/Behavioral Health | 4615 Monkhouse Dr Ste 116, Shreveport, LA 71109-6123 | 2018-01-02 |
| 1467979708 | Finding A Better Me | Community/Behavioral Health | 2924 Knight St Ste 420, Shreveport, LA 71105-2413 | 2017-08-28 |
| 1518495779 | Bridges To Recovery, LLC | Community/Behavioral Health | 7607 Fern Ave Ste 902-903, Shreveport, LA 71105-5739 | 2017-05-31 |
| 1790210805 | Acenter for Hope and Change | Community/Behavioral Health | 6811 Sagewood Dr, Shreveport, LA 71129-9423 | 2017-04-26 |
| 1497289979 | Serenity Behavioral Health Service LLC | Community/Behavioral Health | 2000 Creswell Ave, Shreveport, LA 71104-2202 | 2017-04-12 |
| 1699212696 | Shenells | Community/Behavioral Health | 2120 N Hearne Ave Apt 403, Shreveport, LA 71107-7183 | 2017-01-27 |
| 1700320314 | Contemporary Family Solutions | Community/Behavioral Health | 410 Brushy Bayou Blvd, Shreveport, LA 71106-6900 | 2016-12-15 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
Please comment or provide details below to improve the information on STREET OUTREACH SOLUTIONS,LLC.
| 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.