MR. REGINALD GRACE SR. (NPI# 1942575105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942575105 |
Entity Type | Individual |
Full Name | MR. REGINALD GRACE SR. |
Credential | LPC |
Practice Address |
6225 Plantation Dr. St. Gabriel LA 70776 |
Mailing Address |
Po Box 287 Saint Gabriel LA 70776-0287 |
Practice Telephone | 2256425104 |
Practice Fax Number | 2256425107 |
Mailing Telephone | 2256425104 |
Mailing Fax Number | 2256425107 |
Enumeration Date | 2012-03-20 |
Last Update Date | 2012-03-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
819 | LA | Behavioral Health & Social Service Providers |
Street Address |
6225 PLANTATION DR. |
City | ST. GABRIEL |
State | LA |
Zip Code | 70776 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225487101 | St Gabriel Health Clinic Inc | Clinic/Center | 5600 Monticello Dr, St Gabriel, LA 70776 | 2016-06-10 |
1821464587 | St Gabriel Health Clinic Inc | Clinic/Center | 5760 Monticello, St Gabriel, LA 70776 | 2015-08-18 |
1407185226 | Vonda Kay Gustin | Nurse Practitioner | 6295 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
1912236738 | Cynthia Anne Park | Clinical Nurse Specialist | 6925 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
1417147851 | Adolph Brooks Cronan Jr. | Family Medicine | River Road, Syngenta Corp, St Gabriel, LA 70776 | 2007-08-01 |
1215159272 | Pamela B. Ross | Nurse Practitioner | 7205 Hwy. 74, St. Gabriel, LA 70776 | 2007-05-02 |
1548310881 | George Elliott Inc | Pharmacy | 6150 Hwy 74, St Gabriel, LA 70776 | 2007-01-11 |
1790014512 | Johnny Francois Prejean Jr. | Internal Medicine | 6925 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
1861635443 | Maureen Coughlin | Social Worker | 5760 Monticello Drive, St Gabriel, LA 70776 | 2009-04-13 |
1194996025 | Iberville Elem School Base Health Clinic | Clinic/Center | 5760 Monticello Dr, St Gabriel, LA 70776 | 2008-03-19 |
Find all providers in zip 70776 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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1801409313 | Divine Behavioral Health, LLC | Counselor | 8870 Youree Dr Ste 105, Shreveport, LA 71115-2512 | 2020-08-25 |
1912519083 | Tashara D Williams | Counselor | 3615 Crestview Cir, Shreveport, LA 71119-6522 | 2020-08-20 |
1649881020 | Grey Matter Concepts,inc. | Counselor | 5514 Music St., New Orleans, LA 70122 | 2020-08-11 |
1386255701 | Empowerment Consultants, LLC | Counselor | 3680 La- 1 South, Port Allen, LA 70767 | 2020-08-10 |
1700495538 | Michelle Waguespack | Counselor | 7641 Copperfield Ct, Baton Rouge, LA 70808-6769 | 2020-07-28 |
1093323214 | Scott Moran | Counselor | 902 C M Fagan Dr Ste F, Hammond, LA 70403-6043 | 2020-07-14 |
1700404175 | Gerard Williams | Counselor | 2621 Long Branch Dr, Marrero, LA 70072-5854 | 2020-07-11 |
1356966899 | Carey Bergeron | Counselor | 9721 Paula Dr, River Ridge, LA 70123-1915 | 2020-06-10 |
Find all providers with the same taxonomy |
City | ST. GABRIEL |
Zip Code | 70776 |
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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.