LISA BERESNYAK


Address: 107 Sunnybrook Rd, Raleigh, NC 27610-1827
Phone: 9199712641

LISA BERESNYAK (NPI# 1477109940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477109940
Entity Type Individual
Full Name LISA BERESNYAK
Practice Address 107 Sunnybrook Rd
Raleigh
NC 27610-1827
Practice Telephone 9199712641
Mailing Telephone 9199712641
Enumeration Date 2019-08-12
Last Update Date 2019-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LCAS-25554 NC Behavioral Health & Social Service Providers

Office Location

Street Address 107 SUNNYBROOK RD
City RALEIGH
State NC
Zip Code 27610-1827

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407854730 Joseph Balla Psychiatry & Neurology 107 Sunnybrook Rd, Raleigh, NC 27610-1827 2005-07-11
1750908430 William Harold Smith Nurse Practitioner 107 Sunnybrook Rd, Raleigh, NC 27610-1827 2020-06-29
1598391666 Marissa Lauren Jones Recreation Therapist 107 Sunnybrook Rd, Raleigh, NC 27610-1827 2020-03-20
1790310274 Adepeju Adeola Bolaji Registered Nurse 107 Sunnybrook Rd, Raleigh, NC 27610-1827 2020-03-05
1326680851 Martha Hawkins Counselor 107 Sunnybrook Rd, Raleigh, NC 27610-1827 2019-10-16
1043852957 Jonathan Conyers Levine Social Worker 107 Sunnybrook Rd, Raleigh, NC 27610-1827 2019-10-11
1720646227 Nicole Ann Stoneback Registered Nurse 107 Sunnybrook Rd, Raleigh, NC 27610-1827 2019-05-31
1942706981 Pamela Petack Dingman Occupational Therapy Assistant 107 Sunnybrook Rd, Raleigh, NC 27610-1827 2018-03-30
1093234460 Crystal Elizabeth Russell Counselor 107 Sunnybrook Rd, Raleigh, NC 27610-1827 2017-09-16
1275079998 Donna Harvey Social Worker 107 Sunnybrook Rd, Raleigh, NC 27610-1827 2017-01-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609499243 Elizabeth Ranganai Mavindidze Social Worker Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 2020-05-18
1851958839 Alex & Associates, P.C. Dentist 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 2019-05-24
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
1730552530 Matthew Belair Pharmacist 1601-51 Cross Link Rd, Raleigh, NC 27610 2015-11-03
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205436730 Joy Elise Chiles Counselor 8505 Mount Valley Ln, Raleigh, NC 27613-6931 2020-10-26
1669084406 Battle Mental Health, Pllc Counselor 8311 Brier Creek Pkwy Ste 105-167, Raleigh, NC 27617-7328 2020-08-22
1093327561 Danielle Curley Counselor 11030 Cayden Trl Apt 3h, Raleigh, NC 27614-7393 2020-08-17
1831716703 Bright Chukwemeka Igwe Counselor 4909 Waters Edge Drive Suite 203, 4909 Waters Edge Dr. Suite 203, Raleigh, NC 27606 2020-06-26
1578109443 Melissa Lancaster Mccurry Counselor 12201 Lockhart Ln, Raleigh, NC 27614-9406 2019-11-26
1215582432 Emily Trapp Counselor 723 W Johnson St Ste 100, Raleigh, NC 27603-1244 2019-08-05
1841858875 Barry Ray Wallace Jr. Counselor 2101 Garner Rd #107, Raleigh, NC 27610-3790 2019-06-04
1689130445 Adewumi Gabriel Ojo Counselor 3204 Cotton Grove Run, Raleigh, NC 27610-6264 2019-02-18
1306310321 Nakima Mechelle Morrison Counselor 5213 Chasteal Trl, Raleigh, NC 27610-6606 2019-01-12
1609347368 Bailey's Innovation Group Counselor 4030 Wake Forest Rd Ste 300, Raleigh, NC 27609-6800 2018-12-06
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Competitor

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City RALEIGH
Zip Code 27610

Improve Information

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Dataset Information

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.

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