MR. LOLIS C TACKWOOD (NPI# 1457687212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457687212 |
| Entity Type | Individual |
| Full Name | MR. LOLIS C TACKWOOD |
| Practice Address |
2500 Wilshire Blvd 922 Los Angeles CA 90057-4303 |
| Practice Telephone | 2134879800 |
| Practice Fax Number | 2134879801 |
| Mailing Telephone | 2134879800 |
| Mailing Fax Number | 2134879801 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2500 WILSHIRE BLVD 922 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689651739 | Home Health Care Agency, Inc. | Home Health | 2500 Wilshire Blvd, Suite 1230, Los Angeles, CA 90057-4303 | 2005-12-29 |
| 1760977250 | Cynthia J Villacres | Counselor | 2500 Wilshire Blvd, Los Angeles, CA 90057 | 2018-06-27 |
| 1699215277 | Ricardo Larrain | Licensed Psychiatric Technician | 2500 Wilshire Blvd, Los Angeles, CA 90057 | 2017-03-02 |
| 1407209240 | Jasmone Sabrina Riggins | Case Manager/Care Coordinator | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2016-07-17 |
| 1376993261 | Saul Alejandro Vazquez | Licensed Psychiatric Technician | 2500 Wilshire Blvd, 5th Fl, Los Angeles, CA 90057-4303 | 2016-06-21 |
| 1760856397 | Henry Chhuon | Licensed Psychiatric Technician | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2015-11-19 |
| 1770956120 | Dimitrios Pexaras | Counselor | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2015-11-06 |
| 1467824797 | Alyssa A Dotson | Licensed Psychiatric Technician | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2015-10-26 |
| 1316322480 | Ambika Chandramohan | Counselor | 2500 Wilshire Blvd, Suite 500, Los Angeles, CA 90057-4303 | 2015-07-29 |
| 1316321821 | Briuana Jennet Clady | Student in an Organized Health Care Education/Training Program | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2015-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
Please comment or provide details below to improve the information on MR. LOLIS C TACKWOOD.
| 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.