Provider Demographics
NPI:1063219111
Name:ADAMS, SHAUNGELA
Entity type:Individual
Prefix:
First Name:SHAUNGELA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4014 GENERAL OGDEN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-3418
Mailing Address - Country:US
Mailing Address - Phone:504-705-5659
Mailing Address - Fax:
Practice Address - Street 1:650 POYDRAS ST STE 2760
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-7235
Practice Address - Country:US
Practice Address - Phone:855-732-9585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator