SHANTE GARDNER (NPI# 1942740162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942740162 |
| Entity Type | Individual |
| Full Name | SHANTE GARDNER |
| Practice Address |
6009 Financial Plz Ste 230 Shreveport LA 71129 |
| Mailing Address |
1513 Line Ave Suite 230 Shreveport LA 71101-4621 |
| Practice Telephone | 3186708858 |
| Practice Fax Number | 3186708947 |
| Mailing Telephone | 3186708858 |
| Mailing Fax Number | 3186708947 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2160699 | 05 |
| Street Address |
6009 FINANCIAL PLZ STE 230 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241739 | D&d Transportation Agency LLC | Non-emergency Medical Transport (VAN) | 6171 Bert Kouns Industrial Loop, Apt D100, Shreveport, LA 71129 | 2020-06-30 |
| 1013407006 | Kimron Smith | Counselor | 7550 Pines Road Suite 1115, Shreveport, LA 71129 | 2018-05-15 |
| 1801383518 | Latarsha Parker | Counselor | 6009 Financial Plaza, Suite 105, Shreveport, LA 71129 | 2018-04-18 |
| 1003317652 | Demarkus Webb | Case Manager/Care Coordinator | 6117 Newton Abbott Dr, Shreveport, LA 71129 | 2018-02-27 |
| 1073024014 | Charnita Thomas | Case Manager/Care Coordinator | 5610 Buncombe Rd Apt 504, Shreveport, LA 71129 | 2017-10-17 |
| 1578073334 | Keyon Williams | Counselor | 7000 Red Fox Trail, Shreveport, Shreveport, LA 71129 | 2017-10-06 |
| 1689193765 | Beranna R Smith | Physical Therapy Assistant | 8186 Dance Dr., Shreveport, LA 71129 | 2017-09-11 |
| 1699204982 | Bac Foundation | Community/Behavioral Health | 8500 Pines Rd 19, Shrevepot, LA 71129 | 2017-06-08 |
| 1407381973 | Dominique Stevenson | Specialist | 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129 | 2017-04-21 |
| 1538692496 | Dale Smith | Counselor | 5925 Dexter Pl, Shreveport, LA 71129 | 2017-04-07 |
| Find all providers in zip 71129 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
| 1043842750 | Creative Community Counseling LLC | Counselor | 2920 Knight St Ste 131, Shreveport, LA 71105-2412 | 2020-02-11 |
| 1477191591 | Keona Chequise Kidd | Counselor | 2829 Dunlap St, Shreveport, LA 71103-2244 | 2019-12-19 |
| 1336781632 | A New Beginning Counseling Services, LLC | Counselor | 9441 Oleander Dr, Shreveport, LA 71118-4008 | 2019-10-08 |
| 1841840311 | Theresa Davidson Snow | Counselor | 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 | 2019-09-17 |
| 1962057737 | Mariana Penny | Counselor | 152 E College St, Shreveport, LA 71104-2510 | 2019-08-07 |
| 1528622818 | Kendal Redel | Counselor | 10011 Hanover Dr, Shreveport, LA 71115-3430 | 2019-04-23 |
| 1962960351 | Brandon Lewis-graham | Counselor | 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 | 2019-03-05 |
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1659840312 | Donna Brown Franks | Counselor | 236 E Gregg St, Shreveport, LA 71104-5119 | 2018-11-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71129 |
Please comment or provide details below to improve the information on SHANTE GARDNER.
| 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.