LISA MARIE DAVIS (NPI# 1619486610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619486610 |
| Entity Type | Individual |
| Full Name | LISA MARIE DAVIS |
| Credential | LLPC |
| Practice Address |
1030 Miners Rd Saint Joseph MI 49085-9625 |
| Mailing Address |
101 N Shore Dr Apt 17 South Haven MI 49090-1170 |
| Practice Telephone | 2694081688 |
| Mailing Telephone | 5122027764 |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401016265 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444633 | Lisa Davis | Technician | 595 Trenum Dr, Keyser, WV 26726-7058 | 2020-10-09 |
| 1366054454 | Lisa M Davis | Home Health Aide | 1300 H St Ne Apt 306, Washington, DC 20002-6827 | 2020-08-19 |
| 1689291452 | Lisa Davis | Dietitian, Registered | 5155 Crystal Brook Dr, Morristown, TN 37814-1598 | 2020-06-28 |
| 1760025407 | Lisa Davis | Speech-Language Pathologist | 7121 Wren Ave Nw, North Canton, OH 44720-7054 | 2019-10-25 |
| 1326699869 | Lisa M Davis | Registered Nurse | 295 Sumpter St, Brooklyn, NY 11233-2712 | 2019-09-26 |
| 1194223727 | Lisa Duncan Davis | Dietitian, Registered | 217 Harr Town Rd, Blountville, TN 37617-3830 | 2018-01-29 |
| 1114464708 | Lisa Davis | Nurse Practitioner | 16812 Eldamere Ave, Cleveland, OH 44128-1516 | 2017-01-20 |
| 1639613573 | Lisa Davis | Day Training, Developmentally Disabled Services | 8937 1/2 S Western Ave, Los Angeles, CA 90047-3549 | 2016-12-12 |
| 1275087264 | Lisa Davis | Dental Hygienist | 5901 Stone Pine Rd, Wilmington, DE 19808-1015 | 2016-08-08 |
| 1376919753 | Lisa Davis | Licensed Practical Nurse | 30780 Barrington St, Madison Heights, MI 48071-1834 | 2015-08-19 |
| Street Address |
1030 MINERS RD |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-9625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055466 | Raghu Ram Veeramasuneni | Psychiatry & Neurology | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2005-07-06 |
| 1184238347 | Jessica Danielle Hoffmann | Psychologist | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2020-09-04 |
| 1861039760 | Paige Belanger | Dietitian, Registered | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2019-12-10 |
| 1588208730 | Emma Grace Schurder | Counselor | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2019-10-31 |
| 1912556119 | Kathryn Erickson | Social Worker | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2019-09-10 |
| 1790343010 | Jennifer Gresens | Social Worker | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2019-06-01 |
| 1194383794 | Samantha Lynn Crumb | Social Worker | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2019-05-30 |
| 1740776749 | Elva Whaley | Psychologist | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2018-07-03 |
| 1518454701 | Samantha Sanderson Brown | Psychologist | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2018-04-13 |
| 1376052290 | Patrick Thomas Byrnes | Counselor | 1030 Miners Rd, Saint Joseph, MI 49085-9625 | 2017-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364715 | Danyell Brown | Counselor | 501 S 36th St Ste 102, Saint Joseph, MO 64506-3067 | 2020-07-23 |
| 1669940433 | Care Mgt Solutions Services LLC | Counselor | 1334 S Manor Dr., Saint Joseph, MI 49085-3114 | 2018-11-08 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1467960922 | Jeremy Michael Malzon | Counselor | 1901 Niles Ave Ste 102, Saint Joseph, MI 49085-1615 | 2018-01-18 |
| 1194230003 | Cheryl Lynn Uldrich | Counselor | 3312 E Colony Sq, Saint Joseph, MO 64506-1505 | 2017-12-14 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1104346055 | Felicia D. Flowers | Counselor | 1334 S. Manor Dr., Saint Joseph, MI 49085 | 2017-06-21 |
| 1053862060 | Living Well Concepts | Counselor | 3801 Oakland Ave, Suite 110, Saint Joseph, MO 64506-3622 | 2016-10-14 |
| 1306270186 | Jackie Dorothea Moser | Counselor | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507-2098 | 2013-08-28 |
| 1477990174 | Bright Hope Counseling Center, Pllc | Counselor | 1101 Broad St Ste 8, Saint Joseph, MI 49085-2198 | 2013-06-04 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on LISA MARIE DAVIS.
| 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.