MR. REGINALD GRACE SR.


Address: 6225 Plantation Dr., St. Gabriel, LA 70776
Phone: 2256425104

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
819 LA Behavioral Health & Social Service Providers

Office Location

Street Address 6225 PLANTATION DR.
City ST. GABRIEL
State LA
Zip Code 70776

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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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
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Competitor

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City ST. GABRIEL
Zip Code 70776

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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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