CRYSTAL PEOPLES-MIMS (NPI# 1811435357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811435357 |
| Entity Type | Individual |
| Full Name | CRYSTAL PEOPLES-MIMS |
| Practice Address |
844 Entrada Bossier City LA 71111-6274 |
| Practice Telephone | 3185724532 |
| Mailing Telephone | 3185724532 |
| Enumeration Date | 2017-02-04 |
| Last Update Date | 2017-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1891130084 | LA | Behavioral Health & Social Service Providers |
| Street Address |
844 ENTRADA |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-6274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466715 | Shona D Dyche | Counselor | 1324 Violet Ave, Bossier City, LA 71112-4639 | 2020-10-27 |
| 1932724713 | Restoring Light Counseling, LLC | Counselor | 3018 Old Minden Rd Ste 1113e, Bossier City, LA 71112-2476 | 2020-06-08 |
| 1215434857 | Ashley White | Counselor | 1417 Palmar St, Bossier City, LA 71111-5317 | 2018-04-10 |
| 1902313802 | Jennifer Laurie Jones | Counselor | 1200 Gibson Cir, Bossier City, LA 71112-3348 | 2018-01-02 |
| 1609388586 | Romanethia Brown | Counselor | 2323 Old Minden Rd Apt 273, Bossier City, LA 71112-2305 | 2017-10-31 |
| 1578084299 | Christian Sledge | Counselor | 1011 Princeton Ave, Bossier City, LA 71112 | 2017-07-03 |
| 1992226971 | Derrick Brown | Counselor | 4107 Van Deeman St, Bossier City, LA 71112-4223 | 2017-06-29 |
| 1619320728 | Tanya Corbett | Counselor | 1408 Magnolia Rdg, Bossier City, LA 71112-5042 | 2016-07-13 |
| 1841647492 | Kelli Pickett | Counselor | 6219 E Oxbow Loop, Bossier City, LA 71112-5017 | 2016-05-24 |
| 1710332788 | Anthony Hicks | Counselor | 3218 Thunderbird Ln, Bossier City, LA 71112-3125 | 2016-04-27 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on CRYSTAL PEOPLES-MIMS.
| 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.