CHANICE UNCHELLE BOUDREAUX (NPI# 1760019913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760019913 |
| Entity Type | Individual |
| Full Name | CHANICE UNCHELLE BOUDREAUX |
| Credential | LMT |
| Practice Address |
11758 S Harrells Ferry Rd Ste B Baton Rouge LA 70816-2365 |
| Mailing Address |
11888 Longridge Ave Apt 1124 Baton Rouge LA 70816-8931 |
| Practice Telephone | 2254286614 |
| Mailing Telephone | 2254286614 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | LA9008 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | NONE | 05 |
| Street Address |
11758 S HARRELLS FERRY RD STE B |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669306 | Dosha Nicole Banguel | Registered Nurse | 11758 S Harrells Ferry Rd Ste B, Baton Rouge, LA 70816-2365 | 2020-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283085 | Jennifer Greenup | Massage Therapist | 9270 Siegen Ln Bldg 602, Baton Rouge, LA 70810-0935 | 2020-10-19 |
| 1922615111 | Juloni A Rodriguez | Massage Therapist | 1221 Arcadia Dr, Baton Rouge, LA 70810-2641 | 2020-09-30 |
| 1386262970 | Megan Mackay | Massage Therapist | 701 Lakeland Dr Apt 3, Baton Rouge, LA 70802-4447 | 2020-07-09 |
| 1598396210 | Lateefah Hills | Massage Therapist | 8674 Quarters Lake Rd # 7, Baton Rouge, LA 70809-2172 | 2020-01-31 |
| 1871155085 | Marla Michelle Harper | Massage Therapist | 9766 Jefferson Hwy Ste 101, Baton Rouge, LA 70809-2716 | 2019-07-08 |
| 1881157055 | Tremeca Lakia Roberson | Massage Therapist | 305 France St Ste A, Baton Rouge, LA 70802-6102 | 2019-04-13 |
| 1740756626 | Janeth Kay Debenedetto | Massage Therapist | 4600 Sherwood Common Blvd Ste 403, Baton Rouge, LA 70816-4890 | 2018-10-18 |
| 1063987816 | Devannon Hubert | Massage Therapist | 4242 Government St Ste 122, Baton Rouge, LA 70806-5811 | 2018-10-08 |
| 1881189611 | Breana R Carpenter | Massage Therapist | 12090 S Harrells Ferry Rd Ste P, Baton Rouge, LA 70816-2470 | 2018-06-25 |
| 1881187656 | Dadreal Sanders-simmons | Massage Therapist | 3613 Perkins Rd Ste D, Baton Rouge, LA 70808-2946 | 2018-06-07 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
Please comment or provide details below to improve the information on CHANICE UNCHELLE BOUDREAUX.
| 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.