BIENVILLE SOUTH
Counselor

Address: 3660 W Slauson Ave, Los Angeles, CA 90043-2931

BIENVILLE SOUTH (NPI# 1780188573) 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) 1780188573
Entity Type Individual
Full Name BIENVILLE SOUTH
Gender Male
Practice Address 3660 W Slauson Ave
Los Angeles
CA 90043-2931
Practice Telephone 3232149166
Mailing Address 3660 W Slauson Ave
Los Angeles
CA 90043-2931
Mailing Telephone 3232149166
Enumeration Date 2018-03-19
Last Update Date 2018-03-19
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 103TF0000X Psychologist
Specialization: Family
CA Behavioral Health & Social Service Providers
N 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers
Y 104100000X Social Worker Behavioral Health & Social Service Providers
N 104100000X Social Worker CA Behavioral Health & Social Service Providers
N 172A00000X Driver Other Service Providers
N 221700000X Art Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 171000000X Military Health Care Provider Other Service Providers
N 174N00000X Lactation Consultant, Non-RN Other Service Providers
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 3660 W SLAUSON AVE
City LOS ANGELES
State CA
Zip Code 90043-2931

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699086785 Pastor Mace, Inc. Case Management 3654 W Slauson Ave, Los Angeles, CA 90043-2931 2010-06-23

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1104940204 Aimee Simone Phillips Social Worker - Clinical 6519 South 8th Avenue, Los Angeles, CA 90043 2007-03-16
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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NPI Name Taxonomy Address Enumeration
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1952913055 Jose Islas Counselor 4396 1/2 Lovett St, Los Angeles, CA 90023-4117 2020-08-19
1154931491 Delia Maria Cortez Counselor 12133 Clarkson Rd, Los Angeles, CA 90064-3519 2020-08-02
1457974263 Simeon Simov Counselor 11845 W Olympic Blvd # 815e, Los Angeles, CA 90064-1149 2020-05-27
1780206524 Keisha Whitfield Counselor 1123 W 7th St # 25, Los Angeles, CA 90017-2409 2020-05-14
1467073965 Flowlab Inc Counselor 4528 Los Feliz Blvd, Los Angeles, CA 90027-2006 2020-05-06
1366061624 Elysian Psychology Inc Counselor 10250 Constellation Blvd, Los Angeles, CA 90067-6200 2020-04-15
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City LOS ANGELES
Zip Code 90043

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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.