JACQUELINE VIRGINIA LALLY (NPI# 1831685759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831685759 |
| Entity Type | Individual |
| Full Name | JACQUELINE VIRGINIA LALLY |
| Practice Address |
1141 Whitney Ave Ste 4 Gretna LA 70056-5009 |
| Mailing Address |
59194 Pine Bay Ln Lacombe LA 70445-3670 |
| Practice Telephone | 5043471120 |
| Mailing Telephone | 9856406160 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| 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) |
PLC7452 | LA | Behavioral Health & Social Service Providers |
| Street Address |
1141 WHITNEY AVE STE 4 |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407296767 | Kia Renee Golden | Nurse Practitioner | 1141 Whitney Ave Ste 4, Gretna, LA 70056-5009 | 2013-07-01 |
| 1316550999 | Anna Hamilton Martin | Counselor | 1141 Whitney Ave Ste 4, Gretna, LA 70056-5009 | 2020-08-25 |
| 1114543261 | Angela Bacigalupo | Counselor | 1141 Whitney Ave Ste 4, Gretna, LA 70056-5009 | 2020-06-24 |
| 1871124834 | Nicholas Nguyen | Counselor | 1141 Whitney Ave Ste 4, Gretna, LA 70056-5009 | 2020-01-29 |
| 1922589951 | Han Dinh | Counselor | 1141 Whitney Ave Ste 4, Gretna, LA 70056-5009 | 2018-08-28 |
| 1144769910 | Isabelle Dailey | Social Worker | 1141 Whitney Ave Ste 4, Gretna, LA 70056-5009 | 2017-02-14 |
| 1154726636 | Kristin Hitron | Counselor | 1141 Whitney Ave Ste 4, Gretna, LA 70056-5009 | 2014-10-27 |
| 1366876302 | Neansha Doyle | Licensed Practical Nurse | 1141 Whitney Ave Ste 4, Gretna, LA 70056-5009 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215571567 | Brian Edward Hirsius | Counselor | 1500 Lafayette St Ste 156, Gretna, LA 70053-5778 | 2019-10-30 |
| 1043682487 | Lashun Doyle | Counselor | 1229 Lake Frances Dr, Gretna, LA 70056-8320 | 2015-10-26 |
| 1144659145 | Brenda Lewis | Counselor | 2109 Esplanade Pl, Gretna, LA 70056-2928 | 2013-11-11 |
| 1740443399 | Mind, Body & Soul of New Orleans, Inc. | Counselor | 57 5th St, Gretna, LA 70053-4744 | 2008-07-03 |
| 1316550999 | Anna Hamilton Martin | Counselor | 1141 Whitney Ave Ste 4, Gretna, LA 70056-5009 | 2020-08-25 |
| 1447860978 | Niesha Williams Collor | Counselor | 1141 Whitney Ave, Gretna, LA 70056-5011 | 2020-08-10 |
| 1114543261 | Angela Bacigalupo | Counselor | 1141 Whitney Ave Ste 4, Gretna, LA 70056-5009 | 2020-06-24 |
| 1205458361 | Sean Kucia | Counselor | 1141 Whitney Ave, Gretna, LA 70056-5011 | 2020-05-12 |
| 1871124834 | Nicholas Nguyen | Counselor | 1141 Whitney Ave Ste 4, Gretna, LA 70056-5009 | 2020-01-29 |
| 1629611660 | Amy Catherine Malone | Counselor | 1141 Whitney Ave, Gretna, LA 70056-5011 | 2019-10-22 |
| Find all providers in GRETNA | ||||
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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.