DETRA GAULDEN (NPI# 1679928857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679928857 |
| Entity Type | Individual |
| Full Name | DETRA GAULDEN |
| Practice Address |
3452 Halsey Street Alexandria LA 71301 |
| Practice Telephone | 3186131571 |
| Mailing Telephone | 3186131571 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |
| Gender Code | F |
| 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 |
3452 HALSEY STREET |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| 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 | 71301 |
Please comment or provide details below to improve the information on DETRA GAULDEN.
| 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.