LISA MARIE JUSTICE (NPI# 1114561008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114561008 |
| Entity Type | Individual |
| Full Name | LISA MARIE JUSTICE |
| Practice Address |
439 Sw Michigan St Lake City FL 32025-0440 |
| Mailing Address |
4300 Sw 13th St Gainesville FL 32608-4006 |
| Practice Telephone | 3864870800 |
| Mailing Telephone | 3523745600 |
| Mailing Fax Number | 3522442741 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CNA156763 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275969933 | Lisa Jo Justice | Developmental Therapist | 1149 Sunshine Ln, Kimper, KY 41539-6455 | 2013-09-25 |
| 1437607744 | Lisa Justice | Social Worker | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2016-09-15 |
| 1356495352 | Lisa Justice | Licensed Psychiatric Technician | 13950 Milton Ave, Suite 303, Westminster, CA 92683-2900 | 2007-01-23 |
| 1689781916 | Lisa F Justice | Optometrist | 10360 Medlock Bridge Rd, Duluth, GA 30097-5927 | 2006-08-23 |
| Street Address |
439 SW MICHIGAN ST |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-0440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548249360 | Anton Frans Kootte | Social Worker | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2006-01-11 |
| 1689275216 | Shawnta Walker | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-11-02 |
| 1790384287 | Stormy B Waldron | Registered Nurse | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-26 |
| 1639778038 | Tyesha L Foster | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-19 |
| 1831797919 | Sylvia Vg Youngblood | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-12 |
| 1831797034 | Brittany L Ford | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-12 |
| 1063019909 | Sade Debra Law | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-10-05 |
| 1184231060 | Jennifer P Moon | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-09-25 |
| 1326653833 | Aloralee D Avery | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-09-11 |
| 1225641236 | Jalisa D Middleton | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912493917 | North Florida Mental Health and Wellness Center | Counselor | 232 Sw Beauregard Gln, Lake City, FL 32024-5013 | 2018-07-03 |
| 1497143234 | Latoya Johnson | Counselor | 289 Se Greg Pl, Lake City, FL 32025-6380 | 2015-01-01 |
| 1770761504 | Gary Williams | Counselor | 209 Ne Diana Ter, Lake City, FL 32055-4633 | 2008-02-04 |
| 1598755423 | Clarity Counseling P.C. | Counselor | 700 Henson St., Lake City, CO 81235 | 2005-10-22 |
| 1487274700 | Markesa Letray Edwards | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2020-04-17 |
| 1114564879 | Germeka S Cason | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2019-12-02 |
| 1780230334 | Brittany R Taylor | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2019-08-09 |
| 1063070324 | Aaron Hart | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2019-06-03 |
| 1447813944 | Alexia Queen | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2019-04-19 |
| 1083277586 | Savannah Knoblaugh | Counselor | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2019-04-19 |
| Find all providers in LAKE CITY | ||||
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| 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.