Cognitive Development Consultants, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COGNITIVE DEVELOPMENT CONSULTANTS, INC.

Doing business as

Family Life Development Center

Practice address

1718 Centenary Blvd
Shreveport, LA 71101-5025

Phone

(318) 459-1898

Fax

(318) 459-1877

NPI assigned

Jul 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Ann Player, LCSWNPI 1932115946

Title

Program Director

Phone

(318) 459-1898

Specialties & licenses 1

Addresses

Other names 1

• Family Life Development Center Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Ann Player, LCSW

  • Clinical Social Worker
  • Shreveport, LA
  • NPI 1932115946
  NPD (past) Authorized official
• James Clifton Patterson, M.D., PHD.

  • Psychiatry Physician
  • Shreveport, LA
  • NPI 1619995198
  NPD (past)
• Larrie Ann Williamson, M.D.

  • Psychiatry Physician
  • Shreveport, LA
  • NPI 1356319453
  NPD (past)
• Barbara Fay Willis, MD

  • Psychiatry Physician
  • Homer, LA
  • NPI 1245395029
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972518843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 CENTENARY BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711015025",
            "telephone_number": "318-459-1898",
            "fax_number": "318-459-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 CENTENARY BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711015025",
            "telephone_number": "318-459-1898",
            "fax_number": "318-459-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE DEVELOPMENT CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLAYER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "318-459-1898",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Life Development Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cody Tingle MD LLC
• Kirk W. Cofran, MD
• Mark Alan Cogburn, LPC,LMFT
• Tammy Lynn Coggins, LMT #LA4024-01
• Raymond A. Coghlan, MD
• Juanita Coke, M.D
• Brittney Marie Coker, MS
• Brenda Susan Colbert, LPC LCSW
• Rachel Colbert, PSY.D.
• Tinica Colbert, M.A.

• Public Health or Welfare Agency in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Public Health or Welfare Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.