SHINING STAR PROFESSIONAL SERVICES INC


Address: 9050 Youree Drive, #1004, Shreveport, LA 71115
Phone: 3187958055

SHINING STAR PROFESSIONAL SERVICES INC (NPI# 1952471609) 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) 1952471609
Entity Type Organization
Organization Name SHINING STAR PROFESSIONAL SERVICES INC
Practice Address 9050 Youree Drive
#1004
Shreveport
LA 71115
Practice Telephone 3187958055
Practice Fax Number 3186357100
Mailing Telephone 3187958055
Mailing Fax Number 3186357100
Enumeration Date 2006-11-09
Last Update Date 2020-08-22
Authorized Official Name AKEE LJ JACKSON (OWNER)
Authorized Official Telephone 3187958055
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 4322 LA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1562904 05
LA INDIVIDUAL MEDICARE # 5X968 01

Office Location

Street Address 9050 YOUREE DRIVE
#1004
City SHREVEPORT
State LA
Zip Code 71115

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740829217 Bno Surgical Consultants, LLC Physician Assistant 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 2020-01-02
1902310899 Islam LLC General Acute Care Hospital 9815 Paragon Ln, Shreveport, LA 71115 2017-11-30
1508304569 Marcel White Case Manager/Care Coordinator 9050 Youree Dr, Apt 105, Shreveport, LA 71115 2017-02-09
1114392784 Marilyn Sparks Counselor 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 2015-12-08
1699031237 Cody Tingle Internal Medicine 8001 Youree Dr Ste 400, Shreveport, LA 71115 2012-04-09
1629366885 Pankaj Sharma Psychiatry & Neurology Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 2011-07-21
1396914750 Lisa L Jawahar Radiologic Technologist 429 Creek Holw, Shreveport, LOUISIANA 71115 2008-02-29
1720291412 Larry Kenneth Robinson Jr. Dentist 8856 Youree Dr, Suite C, Shreveport, LA 71115 2007-05-08
1922178854 Akee Lj Jackson Social Worker 9050 Youree Dr. #1004, Shreveport, LA 71115 2006-11-08
1104901446 Monroe Medical Management LLC Clinic/Center 8856 Youree Drive, Suite D, Shreveport, LA 71115 2006-10-26
Find all providers in zip 71115

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831790773 De'sica Lavancer Mccray-stewart Social Worker 6428 Joy Dr, Shreveport, LA 71119-5110 2020-11-06
1811477011 Tanesha Denise Butler Social Worker 3315 Warwick Dr, Shreveport, LA 71118-4323 2018-08-16
1417485012 Mycheal L Mimes Social Worker 1500 N Market St Unit C, Shreveport, LA 71107 2017-05-25
1275069668 Faniki Davis Social Worker 2930 W Maple St, Shreveport, LA 71109-2332 2017-05-04
1225579428 Shondia Jackson Social Worker 9137 Mansfield Rd Apt 104, Shreveport, LA 71118-3143 2017-03-20
1114474327 Daminica Richard Social Worker 1600 Severine Cir, Shreveport, LA 71108-3022 2016-09-06
1619423241 Jaquita Hunter Social Worker 9100 Walker Rd, Apt. H13, Shreveport, LA 71118-2902 2016-09-01
1104286889 Paulette Gorman Social Worker 6811 Fairfield Ave, Shreveport, LA 71106-3803 2016-02-24
1164895454 Rekisha Roshela Perkins Social Worker 843 Ascalon St, Shreveport, LA 71106-5201 2015-11-09
1750753729 Rahvi Smith Social Worker 4152 Calderwood Dr, Shreveport, LA 71119 2015-10-29
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71115

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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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