MISS LAVINIA ROBERTA HENLON (NPI# 1134356009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134356009 |
Entity Type | Individual |
Full Name | MISS LAVINIA ROBERTA HENLON |
Credential | M.S. |
Practice Address |
2400 Lisa Ln Pleasant Hill CA 94523-3902 |
Mailing Address |
1936 Carlotta Dr Concord CA 94519-1358 |
Practice Telephone | 9256828000 |
Mailing Telephone | (925) 682-8000 |
Enumeration Date | 2009-06-17 |
Last Update Date | 2017-08-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | IMF98288 | CA | Student, Health Care |
Street Address |
2400 LISA LN |
City | PLEASANT HILL |
State | CA |
Zip Code | 94523-3902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730252511 | Simone G Hernandez | Counselor | 2400 Lisa Ln, Pleasant Hill, CA 94523-3902 | 2006-11-17 |
1982972576 | Jessica Ann Etchevers | Counselor | 2400 Lisa Ln, Pleasant Hill, CA 94523-3902 | 2011-12-09 |
1790013605 | Lolice Perez | Counselor | 2400 Lisa Ln, Pleasant Hill, CA 94523-3902 | 2009-12-04 |
1285828871 | Mt. Diablo Unified School District | Local Education Agency (LEA) | 2400 Lisa Ln, Pleasant Hill, CA 94523-3902 | 2007-08-28 |
1154520674 | William Joseph Bove | Counselor | 2400 Lisa Ln, Pleasant Hill, CA 94523-3902 | 2007-07-13 |
1437205390 | Adrian Randal | Marriage & Family Therapist | 2400 Lisa Ln, Pleasant Hill, CA 94523 | 2007-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881110823 | Paola M Portillo | Counselor | 3480 Buskirk Dr, St 210, Plesant Hill, CA 94523 | 2017-08-22 |
1508309113 | Seven Bridges Speech Pathology Inc | Speech-Language Pathologist | 140 Gregory Lane, Suite 280, Pleasant Hill, CA 94523 | 2016-11-30 |
1669856761 | Mikelle Waite Millward | Speech-Language Pathologist | 111 Cleaveland Rd Apt 102, Pleasant Hill, CA 94523 | 2015-07-17 |
1568870186 | Travel Well Corporation | Preventive Medicine | 3478 Buskirk Ave, Suite 1042, Pleasant Hill, CA 94523 | 2014-07-28 |
1700290962 | New Directions for Young Adults - California | Psychologist | 100 Longbrook Way, Ste. 20, Pleasant Hill, CA 94523 | 2014-06-16 |
1396161014 | Contra Costa Pathology Associates | Pathology | 399 Taylor Blvd Sw 200, Pleasant Hill, CA 94523 | 2014-03-06 |
1760822993 | Jessica Taylor Ysunza | Counselor | 267 Evelyn Drive, Pleasant Hill, CA 94523 | 2013-07-02 |
1558618306 | Kristina Foster Wunderman | Counselor | 272 Appalachian Dr, Pleasant Hill, CA 94523 | 2012-08-11 |
1376810028 | Patricia Murillo | Counselor | One Santa Barbara Rd, Pleasant Hill, CA 94523 | 2011-11-23 |
1265709257 | Marla Jaye Murray | Counselor | 315 Oakvue Lane, Pleasant Hill, CA 94523 | 2011-11-19 |
Find all providers in zip 94523 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346853249 | Samantha Paige Conway | Student in an Organized Health Care Education/Training Program | 911 Mossbridge Ct, Pleasant Hill, CA 94523-2468 | 2020-08-28 |
1689218786 | Scott Sproul | Student in an Organized Health Care Education/Training Program | 39 Matisse Ct, Pleasant Hill, CA 94523-4238 | 2019-10-31 |
1609422211 | Amanda Kay Veenstra | Student in an Organized Health Care Education/Training Program | 524 Christie Ln, Pleasant Hill, IA 50327-1771 | 2019-08-11 |
1710474002 | Miguel Adrian Michel | Student in an Organized Health Care Education/Training Program | 533 Rock Creek Way, Pleasant Hill, CA 94523-4729 | 2018-04-23 |
1255847414 | Kimya Behrouzian | Student in an Organized Health Care Education/Training Program | 1384 Contra Costa Blvd, Pleasant Hill, CA 94523-4898 | 2017-12-22 |
1780861559 | Maya Christina Stetter | Student in an Organized Health Care Education/Training Program | 2387 Lisa Ln Apt 109, Pleasant Hill, CA 94523-3929 | 2008-01-23 |
1386830321 | Sophia Ann Lever | Student in an Organized Health Care Education/Training Program | 100 Ellinwood Way, Pleasant Hill, CA 94523-4817 | 2007-09-24 |
1578174363 | Marisa V. Lagrimas | Student in an Organized Health Care Education/Training Program | 391 Taylor Blvd Ste 100, Pleasant Hill, CA 94523-2289 | 2020-08-14 |
1386288165 | Christine Lee Rivlin | Student in an Organized Health Care Education/Training Program | 2387 Lisa Ln, Pleasant Hill, CA 94523-3949 | 2019-11-04 |
1972156362 | Stacey Kathleen Bottoms | Student in an Organized Health Care Education/Training Program | 3478 Buskirk Ave Ste 260, Pleasant Hill, CA 94523-4358 | 2019-07-24 |
Find all providers in PLEASANT HILL |
City | PLEASANT HILL |
Zip Code | 94523 |
Please comment or provide details below to improve the information on MISS LAVINIA ROBERTA HENLON.
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.