ANGELS HEARTS LLC (NPI# 1760864276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760864276 |
| Entity Type | Organization |
| Organization Name | ANGELS HEARTS LLC |
| Practice Address |
604 Center St New Iberia LA 70560-5502 |
| Practice Telephone | 3373219424 |
| Practice Fax Number | 3372142012 |
| Mailing Telephone | 3373219424 |
| Mailing Fax Number | 3372142012 |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2015-06-20 |
| Authorized Official Name | MRS. BONNIE LYNN GUNNER (MEMBER) |
| Authorized Official Telephone | 3375196126 |
| Authorized Official Credential | CERTIFICATE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
CERTIFICATE | GA | Behavioral Health & Social Service Providers |
| Street Address |
604 CENTER ST |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70560-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578289 | Kelly Koch | Speech-Language Pathologist | 3919 Highway 14, New Iberia, LA 70560 | 2020-01-30 |
| 1043791262 | Mark Gray | Case Manager/Care Coordinator | 4601 E Admiral Doyle Dr, New Iberia, LA 70560 | 2018-08-25 |
| 1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
| 1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
| 1447766142 | Kirston Gardner | Counselor | 902 Jefferson Ter Ste D, New Iberia, LA 70560 | 2017-12-18 |
| 1902334048 | Keithlyn James | Counselor | 902 Jefferson Ter Ste E, New Iberia, LA 70560 | 2017-06-02 |
| 1619424926 | Dialysis Clinic Inc | Clinic/Center | 2708 E. Main St, New Iberia, LA 70560 | 2016-09-02 |
| 1720433477 | Theresa Armstead | Counselor | 1614 East Main St., Ste D, 36o Mental Health, LLC, New Iberia, LA 70560 | 2016-05-02 |
| 1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
| 1508241969 | Sworoop Thomas John | Internal Medicine | 2315 East Main Street, Medical Staff Office, New Iberia, LA 70560 | 2015-07-28 |
| Find all providers in zip 70560 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980203 | Jennifer Harmon | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2020-04-03 |
| 1457329120 | Mark P. Vigen | Psychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2006-03-09 |
| City | NEW IBERIA |
| Zip Code | 70560 |
Please comment or provide details below to improve the information on ANGELS HEARTS 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.