Active NPI
Courtney Leah Bouligny, MHS
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1437677895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2525 Youree Dr Ste 110
Shreveport, LA 71104 - Phone
- (318) 675-0804
- Fax
- (318) 425-9030
- NPI assigned
- Sep 6, 2017
- Last updated
- Jul 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LA | ||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2525 Youree Dr Ste 110
Shreveport, LA 71104
Mailing address
2102 Gary St.
Winnsboro, LA 71295
Phone (318) 794-4053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1437677895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 GARY ST.",
"city": "WINNSBORO",
"state": "LA",
"postal_code": "71295",
"telephone_number": "318-794-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 YOUREE DR STE 110",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71104",
"telephone_number": "318-675-0804",
"fax_number": "318-425-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULIGNY",
"first_name": "COURTNEY",
"middle_name": "LEAH",
"credential": "MHS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.