MELISSA TROY (NPI# 1780153270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780153270 |
Entity Type | Individual |
Full Name | MELISSA TROY |
Other Name | MELISSA TROY |
Credential | CIT |
Practice Address |
3821 Southern Ave Shreveport LA 71106-1033 |
Mailing Address |
3982 Stuart Ave Bossier City LA 71112-3766 |
Practice Telephone | 3189468157 |
Practice Fax Number | 3182165868 |
Mailing Telephone | 3184226931 |
Enumeration Date | 2018-11-14 |
Last Update Date | 2020-03-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CIT-5090 | LA | Behavioral Health & Social Service Providers |
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396046561 | Melissa Rae Troy | Nurse Practitioner | 2080 State Highway 9 West, Norman, OK 73072-9847 | 2010-11-04 |
1043844327 | Melissa Troy | Social Worker | 405 Central Ave, Northfield, IL 60093-3006 | 2020-02-26 |
Street Address |
3821 SOUTHERN AVE |
City | SHREVEPORT |
State | LA |
Zip Code | 71106-1033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285998716 | Active Recovery LLC | Community/Behavioral Health | 3821 Southern Ave, Active Recovery LLC, Shreveport, LA 71106 | 2012-06-29 |
1083239735 | Charles Robert Yates Jr. | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2020-06-09 |
1689211047 | Constance Darby | Social Worker | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2019-12-04 |
1215570650 | Marshall Turner IIi | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2019-10-17 |
1093209967 | Robert Francis Conway Jr. | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2018-06-14 |
1093204554 | Anna-katrina Keco | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2018-05-09 |
1952815458 | Kellye Jean Lewis | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2017-11-21 |
1992225650 | Kathryn Costello | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2017-06-23 |
1346786373 | Amanda Veuleman | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2017-01-14 |
1962865279 | Jeremy Lindsay | Counselor | 3821 Southern Ave, Shreveport, LA 71106-1033 | 2016-04-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
Find all providers in zip 71106 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942814389 | Courtney Rayburn | Counselor | 9413 Prestonwood Dr, Shreveport, LA 71115-3733 | 2020-09-02 |
1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
1518505601 | Samantha Klingenberg | Counselor | 910 Pierremont Rd Ste 300, Shreveport, LA 71106-2056 | 2019-12-19 |
1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
1396255980 | Christa Walker-williams | Counselor | 525 Crockett St, Shreveport, LA 71101-3601 | 2017-10-09 |
1174047856 | Gregory H Gentry | Counselor | 363 Sandefur Dr, Shreveport, LA 71105-3245 | 2017-08-03 |
1538615067 | Jesse Fallis | Counselor | New Day Recovery/ Shreveport, 6240 Greenwood Rd, Shreveport, LA 71119 | 2016-08-25 |
1760762470 | Jacqueline A. Danzell, Lcsw, LLC | Counselor | 910 Pierremont Rd Ste 410, Shreveport, LA 71106-2056 | 2011-08-25 |
1811291099 | Barbara Marie Allen | Counselor | 5100 Pine Hill Rd, Shreveport, LA 71107-2604 | 2011-01-03 |
1063609782 | Ross Githens | Counselor | 520 Olive St, Shreveport, LA 71104-2312 | 2007-09-26 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71106 |
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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.