DR. CAROLE BUCKLES (NPI# 1821409103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821409103 |
| Entity Type | Individual |
| Full Name | DR. CAROLE BUCKLES |
| Other Name | DR. CAROLE ANNE BRUNNER |
| Credential | PSY.D. |
| Practice Address |
216 Ouachita Ave Monroe LA 71201 |
| Mailing Address |
216 Ouachita Ave Monroe LA 71201-8513 |
| Practice Telephone | 3183224770 |
| Practice Fax Number | 3183290185 |
| Mailing Telephone | 3183224770 |
| Mailing Fax Number | 3183290185 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
981 | LA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 633 Asbury Dr, Suite A, Mandeville, LA 704716511 | 9856242942 | |
| 855 Shirley Rd, Bunkie, LA 713221540 | 3183469288 | 3183467337 |
| Street Address |
216 OUACHITA AVE |
| City | MONROE |
| State | LA |
| Zip Code | 71201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010684 | Scerida Hollins | Case Manager/Care Coordinator | 216 Ouachita Ave, Monroe, LA 71201-8513 | 2020-10-15 |
| 1457966095 | Clinton Gordon Sr. | Case Manager/Care Coordinator | 216 Ouachita Ave, Monroe, LA 71201-8513 | 2020-09-10 |
| 1053967919 | Brandy Ann Chapman | Case Manager/Care Coordinator | 216 Ouachita Ave, Monroe, LA 71201-8513 | 2019-08-15 |
| 1194297721 | Tangernika Coleman | Case Manager/Care Coordinator | 216 Ouachita Ave, Monroe, LA 71201-8513 | 2018-12-20 |
| 1770054991 | Jeannette Morrison | Case Manager/Care Coordinator | 216 Ouachita Ave, Monroe, LA 71201-8513 | 2018-12-16 |
| 1194296319 | Stephanie Jenkins | Case Manager/Care Coordinator | 216 Ouachita Ave, Monroe, LA 71201-8513 | 2018-12-16 |
| 1255807186 | Craig Comanche | Case Manager/Care Coordinator | 216 Ouachita Ave, Monroe, LA 71201-8513 | 2018-10-18 |
| 1629566617 | Nancy Kelley | Case Manager/Care Coordinator | 216 Ouachita Ave, Monroe, LA 71201-8513 | 2018-04-25 |
| 1922495365 | Easy Living Home Care | Community/Behavioral Health | 216 Ouachita Ave, Monroe, LA 71201-8513 | 2015-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912259672 | Laura-anne Colletti Florek | Psychologist | 286 Morning Glory Dr, Monroe, NJ 08831-5340 | 2012-10-04 |
| 1811218183 | Bryman Eric Williams | Psychologist | 1100 S 4th St, Monroe, LA 71202-2804 | 2010-06-21 |
| 1144481524 | Paula Lynn Whitman | Psychologist | 1 Island St, Monroe, MI 48161-2435 | 2008-06-19 |
| 1922290337 | Henry William Brandhorst | Psychologist | 5103 Whisper Ridge Ln, Monroe, NC 28110-8808 | 2007-08-10 |
| 1679786644 | Kari Lynn Hughes | Psychologist | 986 S. Telegraph Road, Monroe, MI 48161 | 2007-05-07 |
| 1992856405 | Kathleen A Grosh | Psychologist | 750 S Monroe St, Monroe, MI 48161-1430 | 2007-01-13 |
| 1508923004 | Sharon Jean Ridella-mehlos | Psychologist | 22 W 2nd St, Monroe, MI 48161-2326 | 2007-01-03 |
| 1205880895 | Irving Kadesh | Psychologist | 70 Gilbert Street, Room 201, Monroe, NY 10950 | 2006-05-19 |
| 1629057369 | Peter Krones | Psychologist | 1201 Miller St, Monroe, NC 28110-3026 | 2006-01-11 |
| 1114557907 | Dayna Root | Psychologist | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2020-01-21 |
| Find all providers in MONROE | ||||
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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.