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Potential Csoc Louisiana Provider Information

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Potential Csoc Louisiana Provider Information Potential CSoC Louisiana Provider Information 1. There are 11 worksheets of provider information. They are: Psychologists as of 4/1/2011 Mental Health Rehab as of 4/1/2011 OBH Mental Health Clinic as of 4/1/2011 MST Provider (Multisystemic Therapy) Psychiatrists as of 4/1/2011 Individual Providers Contracted providers Residential Facilities Group Homes DCFS Active Providers as of 3/1/2011 DCFS Pending Providers as of 3/1/2011 2. The following columns are included in most of the worksheets: Type of provider Name Parish/Area/Region Location City State Zip code Capacity 3. Some columns are incomplete. Only the information already provided by April 2011 4. The worksheets are not mutually exclusive. That is, a provider may appear in more than one worksheet (i.e., PBS Psychologist and Individual Provider). 5. Filter selections can be made at the top of each column. MST Agency Address City State Zip Parish CENTER FOR CHILDREN AND FAMILIES 622 RIVERSIDE DR MONROE LA 71201-6211 Ouachita COGNITIVE DEVELOPMENT CENTER 102 THOMAS ST/STE B ABBEVILLE LA 70510-4524 Vermilion COGNITIVE DEVELOPMENT CENTER 410 E ASKEW ST TALLULAH LA 71282-3706 Madison COGNITIVE DEVELOPMENT CENTER 1811 ROSELAWN AVE MONROE LA 71201-5423 Ouachita COGNITIVE DEVELOPMENT CENTER 7525 FLORIDA BLVD BATON ROUGE LA 70806-0000 East Baton Rouge COMMUNITY SOLUTIONS INC 1847 STERKX RD ALEXANDRIA LA 71301-3540 Rapides COMMUNITY SOLUTIONS INC 9467 BROOKLINE AVE BATON ROUGE LA 70809-1429 East Baton Rouge FAMILY SERVICE OF GREATER NEW ORLEANS2515 CANAL ST/STE 201 NEW ORLEANS LA 70119-6437 Orleans FAMILY SERVICES UNLIMITED INC 1717 MARSHALL ST SHREVEPORT LA 71101-4139 Caddo GULF COAST TEACHING FAMILY 825 RYAN ST/STE 300 LAKE CHARLES LA 70601-4295 Calcasieu INTEGRATED FAMILY SERVICES LLC 2714 CANAL ST/STE 314 NEW ORLEANS LA 70119-5569 Orleans JPHSA/JUVENIL DRUG COURT 5001 WESTBANK EXPWY MARRERO LA 70072-2954 Jef f erson KINGSLEY HOUSE 1600 CONSTANCE ST NEW ORLEANS LA 70130-4641 Orleans LIFE CHANGING SOLUTIONS 1440 PETERMAN DR/STE A ALEXANDRIA LA 71303-3257 Rapides LIFE CHANGING SOLUTIONS 315 S COLLEGE RD/STE 242 LAFAYETTE LA 70503-3257 Laf ay ette LIFE CHANGING SOLUTIONS LLC 6015 HEARNE AVE SHREVEPORT LA 71108-3803 Caddo LOUISIANA METHODIST CHILDRENS 4390 OLD STERLINGTON MONROE LA 71203-2359 Ouachita LOUISIANA METHODIST CHILDRENS 3715 YOUREE DR SHREVEPORT LA 71105-2131 Caddo MAGNOLIA FAMILY SERVICES LLC 106 HICKORY ST THIBODAUX LA 70301-2008 Laf ourche METROPOLITAN CIRCLES LLC 1200 KEYSER AVE/STE A NATCHITOCHES LA 71457-6264 Natchitoches NEW HORIZONS YOUTH SERVICE BUREAU47257 RIVER RD HAMMOND LA 70401-3901 Tangipahoa NOVICE HOUSE OF BATON ROUGE I 9441 COMMON ST/STE D BATON ROUGE LA 70809-1463 East Baton Rouge PREVENTIVE MEASURES PROGRAMS 604 KIMBROUGH AVE BLDG Q TALLULAH LA 71282-5420 Madison RESOURCES FOR HUMAN DEVELOPMENT2121 RIDGELAKE DR/STE 206 METAIRIE LA 70001-2064 Jef f erson RISE N SHINE COUNSELING AGENCY 1724 N BURNSIDE #7 GONZALES LA 70737-2157 Ascension 2 MST Psy chologists Name Address City State Zip Parish SCOTT C ECKHOLDT MP 800 KALISTE SALOOM RD LAFAYETTE LA 70508-4210 Laf ay ette GAIL GILLESPIE PSY 116 E 8TH ST CROWLEY LA 70526-3756 Acadia CARMEN BROUSSARD DPHD 142 RUE MARGUERITE LABADIEVILLE LA 70301-6738 LaSalle DONNA AUCOIN LMP 5000 AMBASSADOR CAFFERY PKWYLAFAYETTE LA 70508-6914 Laf ay ette THOMAS STAATS EPSY 4300 YOUREE DR/STE 200 SHREVEPORT LA 71105-3359 Caddo WILLIAM FOWLER EPSY 3351 SEVERN AVE/STE 301 SLIDELL LA 70002-7408 St. Tammany DEANNE KELLEY MPSY 7902 BELFAST ST NEW ORLEANS LA 70125-3406 Orleans RON JR CAMBIAS DPSY 3108 CLEARY AVE/STE 104 METAIRIE LA 70002-0000 Jef f erson MICHELLE NIEMEIER LPSY 4640 S CARROLLTON AVE/STE 235METAIRIE LA 70119-7608 Orleans ROBERT LERAY NPSY 234 RUE BEAUREGARD/STE 100 LAFAYETTE LA 70508-3285 Laf ay ette CARISSA BOKELBERG LPSY 4640 S CARROLLTON AVE/STE 235METAIRIE LA 70119-6051 Orleans BARBARA MOOREHEAD GPSY 1419 MAIN ST ALEXANDRIA LA 71301-8236 Rapides BRYAN BOLWAHNN LMP 100 GAYVEN DR BALL LA 71405-4903 Rapides PAMELA DETERS BPSY 112 INNWOOD DR/STE H METAIRIE LA 70433-9134 Jef f erson CARY MACK NPSY 8235 YMCA PLAZA DR/STE 402 BATON ROUGE LA 70810-0939 East Baton Rouge CURTIS VINCENT MMP 7931 PICARDY AVE/STE B BATON ROUGE LA 70809-0000 East Baton Rouge CHERRI PENTON MP 232 SHADY OAKS CT BATON ROUGE LA 70810-5349 East Baton Rouge CATHERINE MACGREGOR MPSY P O BOX 2042/3350 RIDGELAKE DRMETAIRIE LA 70004-2042 Jef f erson BRANDON ROMANO PPSY 8235 YMCA PLAZA DR/STE 402 BATON ROUGE LA 70810-0939 East Baton Rouge WENDI LABORDE LPSY 526 E SOUTHFIELD RD SHREVEPORT LA 71105-0000 Caddo KENNETH BINNS RPSY 5615-F JACKSON ST EXT/STE A ALEXANDRIA LA 71303-0000 Rapides MAXINE T CAMPBELL-FLINT PSY 7725 HANKS DR BATON ROUGE LA 70812-0000 East Baton Rouge NAOMI FRIEDBERG LPSY 119 CAILLOVET PL LAFAYETTE LA 70501-0000 St. Mary DAVID WILLIAMS JMP 1410 ROYAL AVE MONROE LA 71201-0000 Ouachita LYNN SCHECHTER RPSY 8235 YMCA PLAZA DR/STE 402 BATON ROUGE LA 70810-0939 East Baton Rouge DAHLIA TOPOLOSKY RPSY 3939 HOUMA BLVD/STE 223 METAIRIE LA 70006-0000 Jef f erson SONJA BELCHER DPSY 1605 MURRAY ST/STE 221 ALEXANDRIA LA 71301-6876 Rapides LAKISHA WILLIAMS SPSY 3709B KIRKMAN ST LAKE CHARLES LA 70607-3046 Calcasieu EBERT VAN BUREN HPSY 2215 LIBERTY ST MONROE LA 71201-0000 Ouachita IVORY TOLDSON LPSY 861 MAIN ST BATON ROUGE LA 70802-5529 East Baton Rouge DAVID KIDDER WPSY 119 VILLAGE ST/STE A SLIDELL LA 70458-5301 St. Tammany PAUL FRIEDBERG MPSY 119 CAILLOUET PL LAFAYETTE LA 70503-0000 Laf ay ette ERIC CERWONKA RPSY 115 W MAIN ST LAFAYETTE LA 70501-0000 Laf ay ette ARIEN WARD MPSY 2508 BERT KOUNS IND LOOP #303SHREVEPORT LA 71118-3100 Caddo AMY CAVANAUGH EPSY 800 KALISTE SALOOM RD LAFAYETTE LA 70508-4210 Laf ay ette JEAN BOUDREAUX APSY 107 REGENCY SQ METAIRIE LA 70508-4221 Jef f erson 3 Psy chologists Psychiatrists Name Address City State Zip Parish NAZEER ABID KMD 2508 BERT KOUNS/STE 203 SHREVEPORT LA 71118-3175 Caddo WK BEHAVIORAL HEALTH SERVICES 2510 BERT KOUNS INDUSTRIAL LOOP SHREVEPORT LA 71118-3119 Caddo PEARSON WILLIAM SMD 1101 MEDICAL CENTER BLVD MARRERO LA 70072-3147 Jefferson KONGARA & ASSOCIATES LLC 5425 BRITTANY DR BATON ROUGE LA 70808-0000 East Baton Rouge RIVER OAKS HOSPITAL 1525 RIVER OAKS RD WEST HARAHAN LA 70123-2199 Jefferson KEITH VAN METER & ASSOC APMC 1816 INDUSTRIAL BLVD HARVEY LA 70058-0000 Jefferson PEDIATRIC CARDIOLOGY OF SWLA 2005 SOUTHWOOD DR LAKE CHARLES LA 70605-0000 Calcasieu PMA MEDICAL TREATMENT 613 WILLIAMS BLVD KENNER LA 70062-0000 Jefferson LOWE JAMES WMD 1040 CALHOUN ST/SETON PAVILLIO NEW ORLEANS LA 70118-0000 Orleans LAIN TERRY JMD 11240 FERNLEY DR NEW ORLEANS LA 70128-3413 Orleans WEST JEFFERSON PHYSICIAN SERV 4413 WICHERS DR/STE 200 MARRERO LA 70072-0000 Jefferson HAMMER BYRON AMD 1732 MILAN ST NEW ORLEANS LA 70115-0000 Orleans STROBACH RICHARD PMD 15752 PROFESSIONAL BLVD HAMMOND LA 70403-0000 Tangipahoa BLANCHE ROBERT VMD 4040 NORTH BLVD/STE A BATON ROUGE LA 70806-3829 East Baton Rouge WILLIAMS ELLA MMD 1500 S MAIN ST FORT WORTH TX 76104-4917 Out of State TULANE MEDICAL CENTER 1415 TULANE AVE NEW ORLEANS LA 70112-0000 Orleans GUILD DONALD MD 2500 N STATE ST JACKSON MS 39216-0000 Out of State DICKENS NICOLE LMD 2520 N UNIVERSITY AVE LAFAYETTE LA 70507-0000 Caldwell FAIR OAKS OF EVANGELINE 735 W MAIN ST VILLE PLATTE LA 70586-0000 Evangeline OLOLRMC-THE FAMILY CENTER 7777 HENNESSY BLVD/STE 6000 BATON ROUGE LA 70808-0000 East Baton Rouge NATH & ASSOCIATES LLC 5425 BRITTANY DR/STE A BATON ROUGE LA 70808-0000 East Baton Rouge BISWAS MINATI MD 330 N JEFF DAVIS PKWY NEW ORLEANS LA 70119-0000 Orleans BRANNON GUY EMD 1006 HIGHLAND AVE SHREVEPORT LA 71101-0000 Caddo KESSEL KEITH BMD 745 OLIVE ST/STE 109 SHREVEPORT LA 71104-2250 Caddo ADVANCED NEURODIAGNOSTIC CTR 2905 KINGMAN ST METAIRIE LA 70006-0000 Jefferson HILL JOHN TMD 109 YORKTOWN DR/STE B ALEXANDRIA LA 71303-3621 Rapides GALLO ROSS AMD 1539 JACKSON AVE/STE 220 NEW ORLEANS LA 70130-5868 Orleans KHAN ABDUL HMD #9 CHATEAU MOUTON KENNER LA 70065-0000 Jefferson LSU CLINICS-SHREVEPORT 1501 KINGS HWY SHREVEPORT LA 71103-3932 Caddo DR CHALASANI & ASSOCIATES LLC 5425 BRITTANY DR BATON ROUGE LA 70808-0000 East Baton Rouge CENTRAL LA STATE HOSPITAL * 242 W SHAMROCK ST PINEVILLE LA 71360-0000 Rapides RYDER GARRETT BMD 1204 W PRIEN LAKE RD LAKE CHARLES LA 70601-8337 Calcasieu CONCEPCION EDGARDO DMD 1131 RUE DU BELIER LAFAYETTE LA 70506-0000 Lafayette HOMER MEMORIAL HOSPITAL HBP 620 E COLLEGE ST HOMER LA 71040-3202 Claiborne BROWN GREGORY JMD 1006 HIGHLAND AVE SHREVEPORT LA 71101-0000 Caddo PATEL JAYENDRA KMD 333 DR MICHAEL DEBAKEY DR #220 LAKE CHARLES LA 70601-0000 Calcasieu BENGHOZI TAWFIK MMD 4120 JACKSON ST ALEXANDRIA LA 71303-0000 Rapides BIUNNO MICHAEL JMD 1305 MADISON ST METAIRIE LA 70001-0000 Jefferson MURDOCK DAVID MMD 107 HIGHLAND PARK PLZ COVINGTON LA 70433-7128 St. Tammany HAUTH THOMAS AMD 1525 RIVER OAKS RD WEST NEW ORLEANS LA 70123-2126 Orleans ASCENSION PARISH MENTAL HEALT 1112 S E ASCENSION COMPLEX GONZALES LA 70737-0000 Ascension UNIVERSITY PHYSICIANS PLLC 2500 N STATE ST JACKSON MS 39216-4505 Out of State PHYSICIAN BILLING SFN 3400 MEDICAL PARK DR/STE D MONROE LA 71203-0000 Ouachita WEINHOLT JR FRANCIS EMD 141 DESIARD ST/STE 200 MONROE LA 71201-7340 Ouachita HOUMA EMERGENCY MEDICINE ASSO8166 MAIN ST HOUMA LA 70360-0000 Terrebonne STRAUSS ARTHUR JMD 3600 PRYTANIA ST/STE 49 NEW ORLEANS LA 70115-3688 Orleans LSUHN BILLING LLC 2390 W CONGRESS ST LAFAYETTE LA 70506-4205 Lafayette BRAUD MARIA MMD 105 REZIN COURT THIBODAUX LA 70301-0000 2Caddo TOSH DEBORAH SMD 433 METAIRIE RD/STE 202 METAIRIE LA 70005-0000 Jefferson SEAL GREGORY SMD 1002 HIGHLAND AVE/STE 200 SHREVEPORT LA 71101-0000 Caddo PARKER MICHAEL TMD 110 JOHN ESKEW DR ALEXANDRIA LA 71303-0000 Rapides MANGAT BALMINDER SMD 1924 CORPORATE SQUARE DR/STE C SLIDELL LA 70458-3164 St.
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