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CANDACE BROOKE BOURQUE
NPI 1952017568
Case Manager/Care Coordinator in Shreveport, LA

Active since January 26, 2023
3821 SOUTHERN AVE, SHREVEPORT, LA 71106(318) 946-8157 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candace Brooke Bourque NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDACE BROOKE BOURQUE (NPI 1952017568) is an individual case manager/care coordinator provider in Shreveport, Louisiana and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1952017568
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameCANDACE BROOKE BOURQUE
Location Address3821 SOUTHERN AVEShreveport, LA 71106-1033
Mailing Address3821 Southern AveShreveport, LA 71106-1033 · (318) 946-8157
Phone(318) 946-8157
Sole ProprietorYes
Enumeration DateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1952017568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3821 SOUTHERN AVE, Shreveport, LA 71106
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES ROBERT YATES JR.
Case Manager/Care Coordinator
3821 SOUTHERN AVE
SHREVEPORT, LA 71106
Caddo Parish (318) 946-8157
ANNA-KATRINA RUPEL LMHC, LPCC
Counselor
3821 SOUTHERN AVE
SHREVEPORT, LA 71106
Caddo Parish (318) 946-8157
MR. MARSHALL TURNER III
Counselor (Addiction (Substance Use Disorder))
3821 SOUTHERN AVE
SHREVEPORT, LA 71106
Caddo Parish (318) 946-8157
TARA D WOODS BA
Case Manager/Care Coordinator
3821 SOUTHERN AVE
SHREVEPORT, LA 71106
Caddo Parish (318) 946-8157
ACTIVE RECOVERY LLC
Counselor (Addiction (Substance Use Disorder))
3821 SOUTHERN AVE, ACTIVE RECOVERY LLC
SHREVEPORT, LA 71106
Caddo Parish (318) 946-8157
THERESE DIANE SCHAFFNER LAC, LPC-S, NCC
Counselor (Addiction (Substance Use Disorder))
3821 SOUTHERN AVE
SHREVEPORT, LA 71106
Caddo Parish (318) 946-8157
JENSON ISAURA LINDAMOOD
Student in an Organized Health Care Education/Training Program
3821 SOUTHERN AVE
SHREVEPORT, LA 71106
Caddo Parish (318) 946-8157
MELISSA TROY CIT
Case Manager/Care Coordinator
3821 SOUTHERN AVE
SHREVEPORT, LA 71106
Caddo Parish (318) 946-8157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Bourque's NPI number?

The NPI number for Candace Bourque is 1952017568. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Where is Candace Bourque located?

Candace Bourque practices at 3821 Southern Ave, Shreveport, LA 71106. The listed phone number is (318) 946-8157.

What is Candace Bourque's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Candace Bourque was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.