MRS. LISA LANDERS CLARK (NPI# 1437485836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437485836 |
| Entity Type | Individual |
| Full Name | MRS. LISA LANDERS CLARK |
| Credential | LPC |
| Practice Address |
1 Waterford Ln Savannah GA 31411-1305 |
| Practice Telephone | 6027516077 |
| Practice Fax Number | 4804521113 |
| Mailing Telephone | 6027516077 |
| Mailing Fax Number | 4804521113 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2016-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6672 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154776912 | Lisa Clark | Counselor | 8722 Heaton St, New Orleans, LA 70118-2616 | 2016-04-29 |
| 1548694383 | Lisa G Clark | Speech-Language Pathologist | 2405 Champaign Ave, Mattoon, IL 61938-2646 | 2013-08-28 |
| 1073857801 | Lisa Ann Clark | Specialist | 1110 Chenango St, Binghamton, NY 13901-1668 | 2012-11-16 |
| 1952680324 | Lisa S Clark | Counselor | 1223 Meadow Lake Rd, Rockledge, FL 32955-8403 | 2011-08-16 |
| 1134456445 | Lisa Lynn Clark | Occupational Therapist | 85 Lunt Rd, Brunswick, ME 04011-7289 | 2009-11-06 |
| 1710146220 | Lisa M Clark | Nurse Practitioner | University Hosp Medical Center Stony Brk, Dept Pediatrics Hsc 11th Floor, Stony Brook, NY 11794-0001 | 2008-06-09 |
| 1376742841 | Lisa M Clark | Specialist | 4308 N 26th St, Tacoma, WA 98407-5211 | 2007-07-15 |
| 1356453260 | Lisa M Clark | Dentist | Bonham Family Dentistry, 101 E 9th Street, Bonham, TX 75418 | 2006-08-31 |
| 1598779100 | Lisa Bardy Clark | Family Medicine | 12815 Highway 98 West, Suite 116, Destin, FL 32550 | 2006-07-28 |
| 1952378226 | Lisa Clark | Psychologist | 225 Medical Way, Riverdale, GA 30274-2522 | 2006-03-04 |
| Street Address |
1 WATERFORD LN |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31411-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114245529 | Elizabeth Sue Neufeld | Internal Medicine | 1 Castlebrook Retreat, Savannah, GA 31411 | 2010-05-10 |
| 1063745479 | Loy Adam Hagan | Dentist | 5 Planters Lane, Savannah, GA 31411 | 2009-09-16 |
| 1124252226 | Frank Hoffman | Otolaryngology | 6 Boar's Nest Lane, Savannah, GA 31411 | 2009-05-05 |
| 1003903352 | John Joseph Ptacek | Radiology | 61 Hemingway Circle, Savannah, GA 31411 | 2006-10-06 |
| 1104234749 | Jennifer Clifton | Internal Medicine | 95 Skidaway Island Park Rd, Savannah, GA 31411 | 2014-07-28 |
| 1164642484 | Skidaway Health and Living Services, Inc. | Nursing Facility/Intermediate Care Facility | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2007-04-27 |
| 1053882555 | Alexus Loper | Occupational Therapist | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2018-12-09 |
| 1285080093 | Righthealth Clinic | Clinic/Center | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2016-05-11 |
| 1588923676 | Catherine J Beltrami | Occupational Therapist | 95 Skidaway Island Park Rd, Savannah, GA 31411-1104 | 2012-05-09 |
| 1790014025 | Mary Hughes | Speech-Language Pathologist | 9 Schroeder Ct, Savannah, GA 31411-1326 | 2009-12-16 |
| Find all providers in zip 31411 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344339 | Savannah Therapeutic Services, LLC | Counselor | 2431 Habersham St Ste C, Savannah, GA 31401-9360 | 2020-10-21 |
| 1548876964 | Al-nisa Monique Bailey | Counselor | 1704 Jasmine Trl, Savannah, TX 76227-7719 | 2020-09-21 |
| 1437768199 | Melissa R Eckroth | Counselor | 116 Dukes Way, Savannah, GA 31419-8953 | 2020-07-29 |
| 1316556343 | Anna Lila Black | Counselor | 9 Hetherington Ln, Savannah, GA 31411-1527 | 2020-07-27 |
| 1073130704 | John Warren Williams | Counselor | 1801 Abercorn St, Savannah, GA 31401-8121 | 2020-06-29 |
| 1922623644 | Skidaway Behavioral Institute LLC | Counselor | 3 Chatuachee Xing, Savannah, GA 31411-1602 | 2020-06-09 |
| 1467085449 | Rachel Harris | Counselor | 807 Goebel Ave, Savannah, GA 31404-2421 | 2020-02-18 |
| 1043841471 | Whitney Troutman Owens | Counselor | 2103 Bull St, Savannah, GA 31401-8530 | 2020-02-04 |
| 1881234425 | Robbins, Corse & Associates, LLC | Counselor | 7505 Waters Ave Ste C4, Savannah, GA 31406-3820 | 2020-01-12 |
| 1538704721 | Carmella Christensen | Counselor | 3228 Whitemarsh Way, Savannah, GA 31410-5219 | 2019-11-12 |
| Find all providers in SAVANNAH | ||||
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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.