GRIEF RECOVERY CENTER (NPI# 1972778512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972778512 |
| Entity Type | Organization |
| Organization Name | GRIEF RECOVERY CENTER |
| Practice Address |
4919 Jamestown Ave Ste 101 Baton Rouge LA 70808-3228 |
| Practice Telephone | 2259246621 |
| Practice Fax Number | 2259246627 |
| Mailing Telephone | 2259246621 |
| Mailing Fax Number | 2259246627 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | KATHY VILAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2259246621 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3453 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518379833 | Grief Recovery Center | Social Worker | 4939 Jamestown Ave, Suite 101, Baton Rouge, LA 70808-3229 | 2014-05-21 |
| 1407079163 | Grief Recovery Center | Social Worker | 4919 Jamestown Ave, Suite 102, Baton Rouge, LA 70808-3228 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GRIEF RECOVERY CENTER OF OREGON, LLC | 2701 12th Street, Salem, OR 97302 |
| Street Address |
4919 JAMESTOWN AVE STE 101 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578616348 | Gretchen G Bankston | Social Worker | 4919 Jamestown Ave Ste 101, Baton Rouge, LA 70808-3228 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160024 | Benjamin Ng | Counselor | 8758 Field Dr, Baton Rouge, LA 70809-2903 | 2020-10-07 |
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1578181814 | Angela Nicole Vaughn | Counselor | 7464 Board Dr, Baton Rouge, LA 70817-5311 | 2020-07-13 |
| 1487270393 | Joanna Sheppard | Counselor | 331 Grandpre St, Baton Rouge, LA 70802-5919 | 2020-06-17 |
| 1417579012 | Cl's Counseling and Consulting Firm, LLC | Counselor | 13969 Windwood Dr, Baton Rouge, LA 70816-1887 | 2020-05-18 |
| 1043830938 | Andrea Frank | Counselor | 2506 Mcgrath Ave Apt 16, Baton Rouge, LA 70806-5434 | 2020-04-21 |
| 1881214666 | Shetamian Wilson | Counselor | 4336 North Blvd Ste 208, Baton Rouge, LA 70806-3920 | 2020-04-21 |
| 1679108740 | Gracefully Purposed Counseling & Consulting, LLC | Counselor | 8542 Siegen Ln Ste 6, Baton Rouge, LA 70810-1940 | 2020-03-09 |
| 1588227623 | Melanie E Salles | Counselor | 2718 Toulon Dr, Baton Rouge, LA 70816-5120 | 2019-04-15 |
| 1275091514 | A T.r.u.t.h. 180 Health Services of Louisiana, LLC | Counselor | 1254 Central Rd, Baton Rouge, LA 70807-3820 | 2019-03-06 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on GRIEF RECOVERY CENTER.
| 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.