MRS. LISA M REO (NPI# 1255899852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255899852 |
| Entity Type | Individual |
| Full Name | MRS. LISA M REO |
| Credential | LCPC, PMH |
| Practice Address |
1052 River Wind Circle Bradenton FL 34212 |
| Mailing Address |
517 Deltona Blvd Ste A Deltona FL 32725-8016 |
| Practice Telephone | 4435213685 |
| Mailing Telephone | 3862595413 |
| Mailing Fax Number | 3867539265 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1622 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MENTAL HEALTH | 000 | 01 |
| FL | 1467691873 | 05 |
| Street Address |
1052 RIVER WIND CIRCLE |
| City | BRADENTON |
| State | FL |
| Zip Code | 34212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134789639 | Costco Wholesale Corporation | Pharmacy | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| 1255897054 | Drexyl Eitniear | Massage Therapist | 6530 Anchor Loop, Apt. 18-207, Bradenton, FL 34212 | 2019-02-17 |
| 1689012163 | Sophia B Moorjani | Nurse Practitioner | 12809 Kite Drive, Bradenton, FL 34212 | 2013-06-06 |
| 1871789743 | Michael Mcconnaghy | Massage Therapist | 9904 Sr 64 East, Bradenton, FL 34212 | 2007-09-24 |
| 1841388477 | Joseph Daniel Oliveira | Radiology | 6162 9th Ave. Circle Ne, Bradenton, FL 34212 | 2006-10-10 |
| 1831116292 | Sheryl V Okuhara | Internal Medicine | 1854 Rye Road East, Unit E, Bradenton, FL 34212 | 2006-07-15 |
| 1326079625 | Kristin Beth Kulju | Chiropractor | 1850 Rye Rd, Bradenton, FL 34212 | 2006-07-05 |
| 1922063866 | Andrzej Kucharski | Family Medicine | 1040 River Heritage Blvd Unit 204, Bradenton, FL 34212 | 2006-04-20 |
| 1033779541 | Costco Wholesale Corporation | Hearing Aid Equipment | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| 1942860457 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| Find all providers in zip 34212 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831288 | John Lopez IIi | Counselor | 3024 Smith Ave, Bradenton, FL 34207-5558 | 2020-11-05 |
| 1396374948 | Melanie B Stebbins | Counselor | 5218 4th Avenue Cir E, Bradenton, FL 34208-5621 | 2020-04-06 |
| 1407485352 | Gale Susanne Kelley | Counselor | 7282 55th Ave E, Bradenton, FL 34203-8002 | 2020-04-03 |
| 1083244040 | Mary Therese Skinner | Counselor | 4112 53rd Ave W Apt 314, Bradenton, FL 34210-3453 | 2020-01-18 |
| 1255851473 | Karma Counseling Services, LLC | Counselor | 1023 Manatee Ave W Ste 301, Bradenton, FL 34205-7828 | 2017-06-20 |
| 1619415254 | Mary Blackwell | Counselor | 5924 30th Ave W, Bradenton, FL 34209-6901 | 2017-02-02 |
| 1548710429 | Amanda Gerber | Counselor | 351 6th Ave W, Bradenton, FL 34205-8820 | 2016-10-04 |
| 1992251441 | Amy L Mckenna | Counselor | 12389 Lavender Loop, Bradenton, FL 34212-2976 | 2016-08-25 |
| 1255885497 | Lavonna Gregory | Counselor | 9030 58th Dr E Ste 103, Bradenton, FL 34202-6108 | 2016-08-04 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| Find all providers in BRADENTON | ||||
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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.