WILLOW POINT BAPTIST HEALING HEART COUNSELING CENTER (NPI# 1760549372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760549372 |
| Entity Type | Organization |
| Organization Name | WILLOW POINT BAPTIST HEALING HEART COUNSELING CENTER |
| Practice Address |
820 Jordan St Suite 401 Shreveport LA 71101 |
| Practice Telephone | 3182226800 |
| Practice Fax Number | 3182226801 |
| Mailing Telephone | 3182226800 |
| Mailing Fax Number | 3182226801 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MR. MARTIN P MILLER (DIRECTOR) |
| Authorized Official Telephone | 3182226800 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2071 | LA | Behavioral Health & Social Service Providers |
| Street Address |
820 JORDAN ST SUITE 401 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235139098 | Red River Orthotic Specialists, LLC | Prosthetic/Orthotic Supplier | 820 Jordan St, Suite 110, Shreveport, LA 71101-4518 | 2005-07-22 |
| 1396269171 | Ulissa Samone Edwards | Counselor | 820 Jordan St, Shreveport, LA 71101-4518 | 2017-08-02 |
| 1154845196 | Kelvin Wayne Latson | Counselor | 820 Jordan St, Shreveport, LA 71101-4518 | 2017-08-01 |
| 1033633201 | Monica Burns | Counselor | 820 Jordan St, Ste. 507, Shreveport, LA 71104 | 2017-07-31 |
| 1811410376 | Aaliyah Janee' Watkins | Counselor | 820 Jordan St, Shreveport, LA 71101-4518 | 2017-07-17 |
| 1275983363 | Morris Crichlow | Counselor | 820 Jordan St, Suite 204, Shreveport, LA 71101-4518 | 2016-06-20 |
| 1730536202 | Innerlight Wellness, LLC | Counselor | 820 Jordan St, Suite 204, Shreveport, LA 71101-4518 | 2016-05-15 |
| 1548661440 | Tiffany Alyce Roe | Nurse Practitioner | 820 Jordan St, Suite 201, Shreveport, LA 71101-4518 | 2014-09-10 |
| 1861812307 | Carol Hamilton Brill | Counselor | 820 Jordan St, Suite 510-c, Shreveport, LA 71101-4518 | 2014-04-23 |
| 1659701209 | Latoya Houston | Nurse Practitioner | 820 Jordan St, Suite 501, Shreveport, LA 71101-4518 | 2013-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750761847 | Michael Todd Lobrano | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2015-06-03 |
| 1114347846 | Jennifer Russell | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2014-04-21 |
| 1730487844 | M Patrick Davenport Appc | Psychologist | 1002 Highland Ave, 3rd Floor, Shreveport, LA 71101-4143 | 2011-03-14 |
| 1497900187 | Adam Thomas Blancher | Psychologist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2008-11-21 |
| 1326254905 | Robert L. Krenek Jr. | Psychologist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2007-05-14 |
| 1376678045 | Gary E. Milford | Psychologist | 2520 Line Ave, Shreveport, LA 71104-3022 | 2007-02-22 |
| 1447337787 | Council for Advancement of Social Service and Education | Psychologist | 2120 Bert Kouns Industrial Loop, Ste. E, Shreveport, LA 71118-3351 | 2006-11-01 |
| 1497842702 | Lisa Harper | Psychologist | 5803 Youree Dr, Ste 200, Shreveport, LA 71105-4243 | 2006-10-06 |
| 1487765665 | G Perry Hill | Psychologist | 7330 Fern Ave, Suite 602, Shreveport, LA 71105 | 2006-08-31 |
| 1104937952 | Robert Herbert Jordan | Psychologist | 510 E Stoner Ave, Overton Brooks Va Medical Center--116b, Shreveport, LA 71101-4243 | 2006-08-31 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on WILLOW POINT BAPTIST HEALING HEART COUNSELING CENTER.
| 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.