LISA CUNNINGHAM LOVE


Address: 4093 Summerhill Sq, Texarkana, TX 75503-2768
Phone: 5806126541

LISA CUNNINGHAM LOVE (NPI# 1164867784) 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) 1164867784
Entity Type Individual
Full Name LISA CUNNINGHAM LOVE
Other Name LISA CUNNINGHAM GATLIN
Credential MS-LPC
Practice Address 4093 Summerhill Sq
Texarkana
TX 75503-2768
Mailing Address 4009 Colorado St
Texarkana
TX 75503-2724
Practice Telephone 5806126541
Mailing Telephone 5806126541
Mailing Fax Number 5802989958
Enumeration Date 2013-05-09
Last Update Date 2018-12-03
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

Other Provider Identifier

State Issuer Identifier Type Code
OK 200484660B 05
OK 200111200A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1322 W Main St, Antlers, OK 745232016 5802985062 5802989958

Other Providers LISA LOVE

NPI Name Taxonomy Address Enumeration
1881780427 Lisa Diane Love Clinical Nurse Specialist 146 B Harpswell Rd, Brunswick, ME 04011 2006-10-04
1164809190 Lisa Lynne Love Social Worker 800 Werner Ct, Suite 205e, Casper, WY 82601-1326 2015-04-28

Office Location

Street Address 4093 SUMMERHILL SQ
City TEXARKANA
State TX
Zip Code 75503-2768

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770049397 Jeffery Nash Nurse Practitioner #4 Valley View Circle, Texarkana, TX 75503 2019-02-19
1821583501 Brandy D Acker Psychologist 3615 Richmond Rd, Texarkana, TX 75503 2018-06-26
1366935066 Samantha Lee Harris Nurse Practitioner 4116 Mcknight Rd, Texarkana, TX 75503 2018-06-07
1811416910 Heather Alison Gerber Nurse Practitioner 5903 Brenda Street, Texarkana, TX 75503 2017-09-11
1952838682 John Kyle Abney Counselor 4134 Mcknight Rd, Texarkana, TX 75503 2017-05-12
1699151514 Piney Woods Er IIi LLC Clinic/Center 4102 Gibson Lane, Texarkana, TX 75503 2015-08-03
1609282433 Colby Rebecca Pair Physician Assistant 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 2014-07-01
1265842496 Healthcare Express, LLP Clinic/Center 3513 Richmond Rd, Texarkana, TX 75503 2014-04-28
1134540628 Eagle Dental Center of Texarkana Pllc Dentist 4009 Moores Ln, Texarkana, TX 75503 2013-12-30
1326481664 Juancarlo S. Pascual Family Medicine 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 2013-04-16
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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
1598278384 Tre Jones Counselor 1406 N Fm 2148, Texarkana, TX 75501-0351 2017-11-15
1841641800 Brittany M Robinson Counselor 2435 College Dr, Texarkana, TX 75501-2788 2016-06-30
1649633652 James Michael Hargrave Sr. Counselor 3608 Melody Ln, Texarkana, TX 75503-0884 2016-03-29
1427453992 Brian Adams Counselor 4016 Buchanan Rd, Texarkana, TX 75501-7584 2014-10-27
1376959122 Maria Sanson Counselor 4613 Parkway Dr Ste 6, Texarkana, AR 71854-1142 2014-07-01
1194146100 William James Eldridge Jr. Counselor 6610 Palisades Dr, Texarkana, TX 75503-4972 2013-12-17
1306177969 Jenna Maedean Burns Counselor 25 Treebark Dr, Texarkana, AR 71854-9743 2010-01-21
1811130115 Sandra Shoulders Counselor 1180 Old Redwater Rd, Texarkana, TX 75501-2253 2009-04-16
1992943286 Betty J Feir Phd Lpc Group Counselor 5501 Medical Parkway Dr, Texarkana, TX 75503-4624 2009-01-26
1407000607 Runnin Wj Therapeutic Center Inc Counselor 4802 S Kings Hwy, Texarkana, TX 75501-8664 2008-11-14
Find all providers in TEXARKANA

Competitor

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City TEXARKANA
Zip Code 75503

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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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