| Organization, Name | Practice Address | Practice Phone | Taxonomy | NPI |
| Allen, Mr. Styron D DOCTOR OF THEOLOGY | 1700 Lake St # L Lake Providence LA 71254-5208 | 318-559-0551 | 101Y00000X | 1992224034 |
| Anderson, Towanna LPC | 1700 Lake St Lake Providence LA 71254-5208 | 318-559-0551 | 101YP2500X | 1609247188 |
| Bailey, Dr. Donovan Wilbur M.D. | 300 Scarborough St Lake Providence LA 71254-3018 | 318-559-2814 | 207Q00000X | 1790767481 |
| MEDICAID LA : 1171425 || OTHER LA STATE LICENSE : 13596 |
| Baker, Mrs. Cathy Ann | 7580 Highway 65 N Lake Providence LA 71254-5219 | 318-559-3169 | 101Y00000X | 1831388420 |
| Bell, Alisa | 411 Sparrow St Lake Providence LA 71254-3035 | 318-559-3356 | 101YM0800X | 1306317953 |
| Bell, Sheila | 1700 Lake St Lake Providence LA 71254 | 318-559-0414 | 101YM0800X | 1356797971 |
| Brown, Patricia | 1700 Lake St Lake Providence LA 71254 | 318-559-0551 | 171M00000X | 1982050803 |
| Cammack, Carrington | 1700 Lake St Lake Providence LA 71254-5208 | 318-559-0551 | 171M00000X | 1457024978 |
| Carter, Lena | 282 Wyly Dr Lake Providence LA 71254-5356 | 318-974-0954 | 101YM0800X | 1508398199 |
| Coon, Mary Catherine RPH | 405 Lake St Lake Providence LA 71254-2631 | 318-559-2400 | 183500000X | 1730798059 |
| Costello, Carla C FNP | 320 N Hood St Lake Providence LA 71254-2140 | 318-559-2404 | 363LF0000X | 1356657746 |
| MEDICAID LA : 2121286 || OTHER LA STATE LICENSE : AP06260 |
| Curley, Lakeisha Moniqe AS | 1700 Lake St Lake Providence LA 71254 | 318-559-0551 | 101YM0800X | 1588010136 |
| Dixon, Mrs. Gloria | 115 Cherry St Lake Providence LA 71254-6303 | 318-559-1166 | 251E00000X | 1821211467 |
| Elmore, Kanitra | 202 Lake St Lake Providence LA 71254-2628 | 318-552-5126 | 163W00000X | 1962995688 |
| Fakhre, George | 221 N Hood Lake Providence LA 71254 | 318-559-1221 | 207R00000X | 1750310272 |
| MEDICAID LA : 1534641 |
| Fautheree, Ms. Ann Sullivan LPC | 282 Wyly Dr Lake Providence LA 71254-5356 | 318-559-2088 | 101YP2500X | 1467411413 |
| Finley, Sade' | 1700 Lake Street Lake Providence LA 71254 | 318-559-0551 | 101YM0800X | 1225571821 |
| Freeman, Catina | 1700 Lake St Lake Providence LA 71254-5208 | 318-559-0551 | 101YM0800X | 1710333661 |
| George, Heather BA | 1700 Lake St Lake Providence LA 71254-5208 | 318-559-0414 | 171M00000X | 1508479882 |
| Gibson, Sharolyn | 1700 Lake St Lake Providence LA 71254 | 318-559-0551 | 101YM0800X | 1649626276 |
| Gordon, Ms. Tonya Denise | 1700 Lake St Lake Providence LA 71254 | 318-559-0551 | 101YM0800X | 1346698792 |
| Hackler, Stacey APRN, FNP-C | 320 N Hood St Lake Providence LA 71254-2140 | 318-559-2404 | 363LF0000X | 1477000529 |
| OTHER LA STATE LICENSE : AP08944 || MEDICAID LA : 2443682 |
| Hale, Amy Garrett RN,FNP | 300 Scarborough St Lake Providence LA 71254-3018 | 318-559-2814 | 363LF0000X | 1710142864 |
| MEDICAID LA : 1314315 |
| Hawthorne, Dr. Tyler Stephen DDS | 205 N Hood St Lake Providence LA 71254-2103 | 318-559-1034 | 1223G0001X | 1730797341 |
| Holt, Mrs. Sarah M.S., CCC-SLP | 303 Wyly Dr Lake Providence LA 71254-5359 | 318-282-9013 | 235Z00000X | 1245782846 |
| Jackson, Helen MASTER | 1700 Lake St Lake Providence LA 71254 | 318-559-0551 | 101YM0800X | 1548616121 |
| Jackson, James | 1700 Lake St Lake Providence LA 71254-5208 | 318-559-0551 | 101YM0800X | 1417406380 |
| Jackson, Joseph Granville CCS, RAC | 411 Sparrow St Lake Providence LA 71254-3035 | 318-559-3356 | 101YA0400X | 1891152773 |
| Johnson, Ashley 101YM0800X | 1700 Lake St Lake Providence LA 71254-5208 | 318-559-0414 | 101YM0800X | 1205373438 |
| Jones, Clifton Jr. | 486 Providence St Lake Providence LA 71254-5727 | 318-493-6070 | 343900000X | 1922557024 |
| Kennedy, Olanda | 1700 Lake St Lake Providence LA 71254 | 318-559-0551 | 171M00000X | 1235585811 |
| King, Edna | 1024 3rd St Lake Providence LA 71254-2820 | 318-282-1649 | 101YM0800X | 1184158594 |
| King, Heather | 272 Keene St Lake Providence LA 71254-5656 | 318-418-0546 | 101YM0800X | 1417489097 |
| Kovac, Dr. Kay B | 300 Scarborough St Lake Providence LA 71254-3018 | 318-559-2814 | 207Q00000X | 1326159450 |
| MEDICAID LA : 1319929 |
| Lewis, Kaleisha | 1431 Mike Ave Lake Providence LA 71254-3653 | 318-600-2023 | 101YM0800X | 1255863833 |
| Lockhart, Ingrid Dandrea BS | 1700 Lake Road Lake Providence LA 71254 | 318-559-0551 | 101YM0800X | 1326494972 |
| Lucas, Elisha | 411 Sparrow St Lake Providence LA 71254-3035 | 318-559-3356 | 101YM0800X | 1578005906 |
| Lyons, Brittany | 1700 Lake St Lake Providence LA 71254 | 318-559-0551 | 101YM0800X | 1720434715 |
| Lyons, Laketha | 331 Keene St Lake Providence LA 71254-5662 | 318-282-0614 | 101YM0800X | 1124550710 |
| Lyons, Shirley Anne | 1700 Lake St Lake Providence LA 71254 | 318-559-0551 | 101YM0800X | 1194239806 |
| Magee, Myrtis I LMSW | 700 Lake St Lake Providence LA 71254-2526 | 318-553-0551 | 101YP2500X | 1316310360 |
| Miller, Ms. Brenda R. FNP | 326 N Hood St Lake Providence LA 71254-2140 | 318-559-4900 | 363LF0000X | 1558342493 |
| MEDICAID LA : 1437565 |
| Norris, Mrs. Linda | 1700 Lake St Lake Providence LA 71254 | 318-559-0551 | 101YM0800X | 1447606439 |
| Oga, Mr. Ruel PT | 491 Riddle Ln Apt 22 Lake Providence LA 71254-5485 | 318-381-4722 | 225100000X | 1639584006 |
| Perkins, Dr. Camille M.D. | 326 N Hood St Lake Providence LA 71254-2140 | 318-559-4900 | 208000000X | 1073595153 |
| MEDICAID LA : 1926639 || OTHER LA STATE LICENSE : L09044R |
| Powell, Karvan | 1700 Lake St Lake Providence LA 71254-5208 | 318-559-0551 | 171M00000X | 1447607155 |
| OTHER LA 1316187321 : 1316187321 |
| Powell, Kim | 301 Madden Dr Lake Providence LA 71254-3742 | 318-418-0297 | 101YM0800X | 1962934554 |
| Ratliff, Kelly Catherine FNP-C | 300 Scarborough St Lake Providence LA 71254-3018 | 318-559-2814 | 363LF0000X | 1386212603 |
| Shoemaker, Wanda | 306 Star Arlington St Lake Providence LA 71254-2012 | 318-372-0016 | 101YM0800X | 1003348681 |
| Siggers, Shannon | 1700 Lake St Lake Providence LA 71254-5208 | 318-559-0551 | 101Y00000X | 1881143261 |
|
