LISA MALT


Address: 1614 Colonial Blvd, Fort Myers, FL 33907-1135
Phone: 2399366724

LISA MALT (NPI# 1093204927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093204927
Entity Type Individual
Full Name LISA MALT
Credential MED
Practice Address 1614 Colonial Blvd
Fort Myers
FL 33907-1135
Mailing Address 1225 Sw 34th Ter
Cape Coral
FL 33914-5147
Practice Telephone 2399366724
Mailing Telephone 2398501127
Enumeration Date 2018-05-07
Last Update Date 2018-05-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 1614 COLONIAL BLVD
City FORT MYERS
State FL
Zip Code 33907-1135

Providers in the same zip code

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1134739253 Islande Dorcin Social Worker 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 2020-08-04
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1528549094 Deborah Senese Streater Dentist 12530 New Brittany Blvd., Fort Myers, FL 33907 2018-08-23
1437648391 Rita Lusinete Rabitt Registered Nurse 14084 Clear Water Ln, Fort Myers, FL 33907 2018-05-07
1972092146 Surgery Centre of Sw Florida LLC Clinic/Center 13051 University Dr Ste 102, Fort Myers, FL 33907 2018-05-03
1740787761 Care Transport Inc Non-emergency Medical Transport (VAN) 7850 Reflection Cove Dr, Fort Myers, FL 33907 2018-04-06
1942730692 Concierge Care of Fort Myers, LLC In Home Supportive Care 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 2017-06-15
1710411467 Johnnie Terrell Social Worker 43 Barkley Cir #102, Fort Myers, FL 33907 2017-04-19
1881041184 Hchs Medical Center Clinic/Center 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 2016-05-17
1043665227 Tong Liu Dentist 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 2016-04-26
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780293324 Stephanie Rimes Counselor 12811 Kenwood Ln # 202213, Fort Myers, FL 33907-5667 2020-07-29
1881196541 Kara Seanor Counselor 12575 Stone Tower Loop, Fort Myers, FL 33913 2018-03-08
1386189025 Deborah Susan Marino Counselor 1830 Brantley Rd, Building C Unit 8, Fort Myers, FL 33907-3938 2017-01-04
1679026223 Sabrina Teresa Mendizabal Counselor 12535 New Brittany Blvd Ste 28, Fort Myers, FL 33907-3625 2016-08-01
1962803387 Irene Veronica Brown Counselor 2740 Oak Ridge Ct Ste 301, Fort Myers, FL 33901-9371 2014-09-05
1902232465 Patricia Lopez Counselor 10140 Deer Run Frm Rd, Fort Myers, FL 33966-1045 2013-09-16
1932541901 Carrie Lynn Johnson Counselor 6315 Presidential Ct Ste 120, Fort Myers, FL 33919-3568 2013-07-19
1932442837 Nicolas Alonzo Bolanos Counselor 4150 Ford Street Extension, Fort Myers, FL 33916 2013-03-29
1396000915 Denise Marie Millheim Counselor 2789 Ortiz Ave # G-12, Fort Myers, FL 33905-7806 2012-07-10
1437439114 Julie Eckhardt Counselor 18581 Sarasota Rd, Fort Myers, FL 33967-3520 2011-08-25
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33907

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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