CAROLNISE GIBSON (NPI# 1679199053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679199053 |
| Entity Type | Individual |
| Full Name | CAROLNISE GIBSON |
| Practice Address |
353 Stubbs Mccormick Rd Monroe LA 71203-9412 |
| Practice Telephone | 3186145044 |
| Mailing Telephone | 3186145044 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| Street Address |
353 STUBBS MCCORMICK RD |
| City | MONROE |
| State | LA |
| Zip Code | 71203-9412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649317181 | Gentle Touch Services Inc | Psychologist | 501 Pine St, Monroe, LA 71201-6333 | 2007-02-01 |
| 1225175250 | Gentle Touch Services Inc | Psychologist | 501 Pine St, Monroe, LA 71201-6333 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679734917 | Victoria Cooper Swanson | Psychologist | 200 Kings Cove Cir, Lafayette, LA 70508-0216 | 2008-06-19 |
| 1215149950 | Louisiana Health & Rehabilitation Coptions | Psychologist | 930 Webb St, Lafayette, LA 70501-3930 | 2007-05-04 |
| 1538371240 | Louisiana Health & Rehabilitation Coptions | Psychologist | 1033 N Lobdell Ave, Baton Rouge, LA 70806-2233 | 2007-05-04 |
| 1093376550 | Kimberly Smith Martin | Psychologist | 1539 Jackson Ave Ste 300, New Orleans, LA 70130-5863 | 2019-06-25 |
| 1578968970 | Marc Hendler | Psychologist | 3616 S I 10 Service Rd W, Metairie, LA 70001-1874 | 2014-10-28 |
| 1063787224 | Heather Elise Sterling | Psychologist | 214 Jefferson St, Suite 301, Lafayette, LA 70501-7050 | 2012-03-20 |
| 1578866778 | Donna Aucoin Ph.d & Associates LLC | Psychologist | 5000 Ambassador Caffery Pkwy, Province Bldg 13, Lafayette, LA 70508-6984 | 2010-12-09 |
| 1255657243 | Tonya Sue Jackson | Psychologist | 2006 Gus Kaplan Dr, Alexandria, LA 71301-3376 | 2010-04-15 |
| 1972750057 | Louisiana Health & Rehabilitation Coptions | Psychologist | 1701 Main St, Baton Rouge, LA 70802-3764 | 2008-08-20 |
| 1003063199 | Louisiana Health & Rehabilitation Coptions | Psychologist | 930 Webb St, Lafayette, LA 70501-3930 | 2008-08-20 |
| Find all providers with the same taxonomy | ||||
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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.