DR. LISA WELLS (NPI# 1255872917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255872917 |
Entity Type | Individual |
Full Name | DR. LISA WELLS |
Credential | PH.D. |
Practice Address |
3907 Shiloh Trail West Nw Kennesaw GA 30144-2051 |
Practice Telephone | 7703304522 |
Enumeration Date | 2017-03-14 |
Last Update Date | 2017-03-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841614518 | Lisa Wells | Psychologist | 481 Northfield Rd, Bedford, OH 44146-2201 | 2014-02-14 |
1194030163 | Lisa Wells | Speech-Language Pathologist | 20 Quade St, Glens Falls, NY 12801-2725 | 2010-08-13 |
1932329620 | Lisa Kathryn Wells | Physical Therapist | Animas Public Schools, 1 Panther Dr, Animas, NM 88020 | 2007-04-26 |
1386715829 | Lisa Thompson Wells | Speech-Language Pathologist | 1575 Lexington Rd, Wilmore, KY 40390-9774 | 2006-11-13 |
1578653283 | Lisa Wells | Counselor | 4176 South Paul Circle, Bay City, MI 48706-1344 | 2006-10-13 |
1942654728 | Lisa Wells | Pharmacist | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2016-04-19 |
1164763785 | Lisa Marie Wells | Physical Therapist | 201 Roper Creek Dr, Greenville, SC 29615-6927 | 2013-03-06 |
1720186406 | Lisa Ann Wells | Recreation Therapist | 5th Avenue and Roosevelt Road, Recreation Therapy 11k, Hines, IL 60141 | 2006-09-20 |
1093702409 | Lisa Wells | Physician Assistant | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2005-09-30 |
Street Address |
3907 SHILOH TRAIL WEST NW |
City | KENNESAW |
State | GA |
Zip Code | 30144-2051 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
Find all providers in zip 30144 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385003 | William Battle Evans | Psychologist | 1608 Woodhill Trl, Augusta, GA 30909-2664 | 2020-10-27 |
1407460256 | Maria Torres-villa | Psychologist | 1859 American Way, Lawrenceville, GA 30043-6614 | 2020-08-31 |
1407480122 | Robin Clesen | Psychologist | 2415 Peachtree Rd, Cumming, GA 30041-8533 | 2020-03-03 |
1881224525 | Kristy Evans | Psychologist | 7705 Sleepy Lagoon Way, Flowery Branch, GA 30542-7559 | 2020-01-22 |
1518507508 | Klarysa Eva Riepe | Psychologist | 8610 Woodledge Ln, Roswell, GA 30076-3573 | 2020-01-08 |
1821655143 | Jennifer Paige Edwards | Psychologist | 4949 Oakdale Rd Se Apt 311, Smyrna, GA 30080-7163 | 2019-05-22 |
1902371982 | Wanda Young Sanders | Psychologist | 1230 Lamont Cir, Dacula, GA 30019-4528 | 2018-10-05 |
1104356443 | Laurie Wylie | Psychologist | 107 Twin Oaks Ct, Fortson, GA 31808-4479 | 2017-06-19 |
1265962013 | Tracy Cooper | Psychologist | 652 Ora Ave Se, Atlanta, GA 30316-2146 | 2017-06-14 |
1295267375 | Ifraj Quiyim | Psychologist | 1015 Porter St, Savannah, GA 31415-5284 | 2017-03-29 |
Find all providers with the same taxonomy |
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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.