KELLY RAY


Address: 351 W 79th St, Shreveport, LA 71106-4819
Phone: 3186888190

KELLY RAY (NPI# 1801332663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801332663
Entity Type Individual
Full Name KELLY RAY
Practice Address 351 W 79th St
Shreveport
LA 71106-4819
Practice Telephone 3186888190
Enumeration Date 2017-01-17
Last Update Date 2017-01-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
PLPC5219 LA Behavioral Health & Social Service Providers

Other Providers KELLY RAY

NPI Name Taxonomy Address Enumeration
1437159639 Kelly Paulk Ray Psychologist 7913 Wrenwood Blvd Ste A, Baton Rouge, LA 70809 2005-07-29
1154961274 Kelly Yvonne Ray Behavioral Analyst 44225 W 12 Mile Rd Ste C-106, Novi, MI 48377-2640 2020-01-07
1497239750 Kelly M Ray Social Worker 1532 Lone Oak Rd Ste 345, Paducah, KY 42003-7942 2018-09-21
1417345836 Kelly Matthew Ray Nurse Anesthetist, Certified Registered 971 Lakeland Dr, Suite 202, Jackson, MS 39216-4643 2015-01-07
1053678391 Kelly L Ray Counselor 907 N Main St, Suite 202, Anderson, SC 29621-5526 2012-04-11
1790054682 Kelly Ann Ray Registered Nurse 7476 Back Creek Rd, Hamburg, NY 14075-7202 2011-12-21
1609182310 Kelly Lee Ray Physician Assistant 10131 Coors Blvd Nw, Albuquerque, NM 87114-4045 2010-08-19
1194918516 Kelly Merit Ray Physical Therapist 3700 W 15th St, Plano, TX 75075-4736 2007-08-20
1437168051 Kelly Schilder Ray Psychologist 600 Davis St, Suite 3e, Evanston, IL 60201-4488 2006-08-05

Office Location

Street Address 351 W 79TH ST
City SHREVEPORT
State LA
Zip Code 71106-4819

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891130084 Positive Change Counseling Agency Community/Behavioral Health 351 W 79th St, Shreveport, LA 71106-4819 2013-05-01
1689182792 Fresh Start Community Health Center LLC Clinic/Center 351 W 79th St, Shreveport, LA 71106 2018-01-11
1205340619 Mahogany Murphy Counselor 351 W 79th St, Shreveport, LA 71106-4819 2017-11-21
1144734708 Casey Thomas Counselor 351 W 79th St, Shreveport, LA 71106-4819 2017-11-18
1245742923 Kathy Murphy Counselor 351 W 79th St, Shreveport, LA 71106-4819 2017-11-02
1861904609 Yul Taylor Counselor 351 W 79th St, Shreveport, LA 71106-4819 2017-11-02
1720590938 Teylor Washington Counselor 351 W 79th St, Shreveport, LA 71106-4819 2017-10-27
1164934535 Tracy Richardson Counselor 351 W 79th St, Shreveport, LA 71106-4819 2017-10-25
1477064160 Sherice Vivians Counselor 351 W 79th St, Shreveport, LA 71106-4819 2017-10-20
1275043259 Janice Reed Counselor 351 W 79th St, Shreveport, LA 71106-4819 2017-10-04
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639786502 Erik Rasmussen Counselor 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 2020-09-25
1043842750 Creative Community Counseling LLC Counselor 2920 Knight St Ste 131, Shreveport, LA 71105-2412 2020-02-11
1477191591 Keona Chequise Kidd Counselor 2829 Dunlap St, Shreveport, LA 71103-2244 2019-12-19
1336781632 A New Beginning Counseling Services, LLC Counselor 9441 Oleander Dr, Shreveport, LA 71118-4008 2019-10-08
1841840311 Theresa Davidson Snow Counselor 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 2019-09-17
1962057737 Mariana Penny Counselor 152 E College St, Shreveport, LA 71104-2510 2019-08-07
1528622818 Kendal Redel Counselor 10011 Hanover Dr, Shreveport, LA 71115-3430 2019-04-23
1962960351 Brandon Lewis-graham Counselor 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 2019-03-05
1699245928 Misty Johnetta Ross Counselor 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 2018-11-29
1659840312 Donna Brown Franks Counselor 236 E Gregg St, Shreveport, LA 71104-5119 2018-11-24
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Competitor

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City SHREVEPORT
Zip Code 71106

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Dataset Information

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.

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