LEZLEY BANTOLINA (NPI# 1376159855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376159855 |
| Entity Type | Individual |
| Full Name | LEZLEY BANTOLINA |
| Credential | MS, LPC |
| Practice Address |
16 Municipal Dr Ste D Arnold MO 63010-1043 |
| Practice Telephone | 6363332641 |
| Practice Fax Number | 5738031405 |
| Mailing Telephone | 6363332641 |
| Mailing Fax Number | 5738031405 |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2020-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
MO | Behavioral Health & Social Service Providers |
| Street Address |
16 MUNICIPAL DR STE D |
| City | ARNOLD |
| State | MO |
| Zip Code | 63010-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689729279 | Jennifer Ann Murphey | Counselor | 16 Municipal Dr Ste D, Arnold, MO 63010-1043 | 2007-01-24 |
| 1285240762 | Melissa A Brennan | Counselor | 16 Municipal Dr Ste D, Arnold, MO 63010-1043 | 2020-09-19 |
| 1073145900 | Cynthia Jung | Counselor | 16 Municipal Dr Ste D, Arnold, MO 63010-1043 | 2020-02-08 |
| 1982236816 | Kendall Beahm | Counselor | 16 Municipal Dr Ste D, Arnold, MO 63010-1043 | 2020-02-08 |
| 1598100133 | Anne Prendergast | Counselor | 16 Municipal Dr Ste D, Arnold, MO 63010-1043 | 2013-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952962474 | Kayla Davelle Thompson | Occupational Therapist | 4 Arnold Park Mall, Arnold, MO 63010 | 2019-06-25 |
| 1750884466 | Casey Brooks | Chiropractor | 28 Fox Valley Ctr, Arnold, MO 63010 | 2018-03-09 |
| 1831628247 | Lice Clinics of America | Technician, Other | 39 Fox Valley, Arnold, MO 63010 | 2017-06-08 |
| 1235668633 | Lauren Mareschal | Occupational Therapist | 4 Arnold Park, Arnold, MO 63010 | 2017-06-08 |
| 1851760292 | Valerie Tribl | Registered Nurse | 3937 Vogel Road, Walgreens Healthcare Clinic, Arnold, MO 63010 | 2015-09-16 |
| 1942615265 | Rachel Kyllo | Dermatology | 3783 Vogel Rd, Arnold, MO 63010 | 2014-06-25 |
| 1538584669 | Alex Sharifian Dds Water Tower Dental Group PC | Dentist | 2231 Michigan Avenue, Arnold, MO 63010 | 2014-02-26 |
| 1669897815 | Diana E Toler | Chiropractor | 2190 Tenbrook Rd, Arnold, MO 63010 | 2014-02-25 |
| 1902163280 | Sheila Kay Schaefer | Physical Therapist | 3488 Jeffco Blvd., Suite 102, Arnold, MO 63010 | 2012-04-11 |
| 1639400179 | Arnold Physical Therapy & Sports Medicine LLC | Clinic/Center | #160 Richardson Crossing, Arnold, MO 63010 | 2010-01-22 |
| Find all providers in zip 63010 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639621279 | Lisa Ojst | Counselor | 427 Century Vista Dr, Arnold, MD 21012-1210 | 2016-10-31 |
| 1972972453 | Safe Harbor Christian Counseling | Counselor | 461 College Pkwy, Arnold, MD 21012-1875 | 2015-09-15 |
| 1255601563 | Toni Michelsen | Counselor | 1234 Harbour Glen Ct., Arnold, MD 21012-2268 | 2012-01-03 |
| 1528366523 | Edward Rigsby Jr. | Counselor | 1107 Fox Chase, Arnold, MO 63010-1372 | 2011-03-01 |
| 1245549641 | Maryanne Fowler | Counselor | 1331 Jeffco Blvd, Suite #3, Arnold, MO 63010-2165 | 2010-10-02 |
| 1710143391 | Carman M Klassen | Counselor | 505 Oakmont Ct, Arnold, MD 21012-2354 | 2008-08-01 |
| 1689729279 | Jennifer Ann Murphey | Counselor | 16 Municipal Dr Ste D, Arnold, MO 63010-1043 | 2007-01-24 |
| 1134282395 | William Travers Kirwan | Counselor | 277 Peninsula Farm Road, Ste I Bayshore Counseling & Psychological Services LLC, Arnold, MD 21012 | 2006-12-19 |
| 1720175706 | Regina A Warren | Counselor | 1298 Bay Dale Dr, 216, Arnold, MD 21012-2804 | 2006-10-09 |
| 1285240762 | Melissa A Brennan | Counselor | 16 Municipal Dr Ste D, Arnold, MO 63010-1043 | 2020-09-19 |
| Find all providers in ARNOLD | ||||
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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.