LISA BOURNE (NPI# 1700320363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700320363 |
| Entity Type | Individual |
| Full Name | LISA BOURNE |
| Credential | LPC |
| Practice Address |
661 E Main St Abingdon VA 24210-2339 |
| Practice Telephone | 2766239245 |
| Practice Fax Number | 2766231183 |
| Mailing Telephone | 2766239245 |
| Mailing Fax Number | 2766231183 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701006880 | VA | Behavioral Health & Social Service Providers |
| Street Address |
661 E MAIN ST |
| City | ABINGDON |
| State | VA |
| Zip Code | 24210-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467065474 | Joni Lester | Counselor | 661 E Main St, Abingdon, VA 24210-2339 | 2020-08-28 |
| 1710485677 | April Day | Counselor | 661 E Main St, Abingdon, VA 24210-2339 | 2018-01-25 |
| 1497106413 | Jordan Varney | Behavioral Analyst | 661 E Main St, Abingdon, VA 24210-2339 | 2016-06-30 |
| 1104294511 | Heather Green | Social Worker | 661 E Main St, Abingdon, VA 24210-2339 | 2015-09-02 |
| 1457754699 | Denise Wallace | Counselor | 661 E Main St, Abingdon, VA 24210-2339 | 2014-10-02 |
| 1982013207 | Linda Comer | Counselor | 661 E Main St, Abingdon, VA 24210-2339 | 2014-08-12 |
| 1427485473 | Family Preservation Services, Inc | Community/Behavioral Health | 661 E Main St, Abingdon, VA 24210-2339 | 2013-10-07 |
| 1942400742 | Family Preservation Services, Inc | Community/Behavioral Health | 661 E Main St, Abingdon, VA 24210-2339 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
| 1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
| 1780189035 | Vickie Lynne Beam | Speech-Language Pathologist | Washington County Public Schools, 812 Thompson Drive, Abingdon, VA 24210 | 2018-03-28 |
| 1093235814 | Meagan R Compton | Speech-Language Pathologist | 18596 Lee Hwy Suite B, Abingdon, VA 24210 | 2017-06-22 |
| 1710433404 | Highlands Community Pharmacy Inc | Pharmacy | 16400 Jeb Stuart Highway, Abingdon, VA 24210 | 2016-09-01 |
| 1548632417 | Lauren Irene Esposito | Audiologist | 319 Falls Drive, Abingdon, VA 24210 | 2015-10-30 |
| 1073909784 | Michael Justice | Pharmacist | 1 Food City Circle, Abingdon, VA 24210 | 2015-04-09 |
| 1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
| 1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
| 1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
| Find all providers in zip 24210 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144876699 | Emily Bermudez Fadgen | Counselor | 3508 Back Pointe Ct Unit 1b, Abingdon, MD 21009-2574 | 2019-08-12 |
| 1487211231 | Jennifer Abbe | Counselor | 3116 Holly Berry Ct, Abingdon, MD 21009-1035 | 2019-05-28 |
| 1245707330 | Monica Todd | Counselor | 59 Kensington Pkwy, Abingdon, MD 21009-1851 | 2018-10-27 |
| 1083060750 | Deron Ernst | Counselor | 23485 Walden Rd, Abingdon, VA 24210-7703 | 2016-05-11 |
| 1659738037 | Theresa Redmon | Counselor | 3018 Benefit Ct, Abingdon, MD 21009-2942 | 2016-01-15 |
| 1194135129 | William Burch Haynes Jr. | Counselor | 274 Park St Se # 1441, Abingdon, VA 24210-3312 | 2014-04-29 |
| 1427494475 | Cindy C Griffith | Counselor | 468 E Main St Ste 300a, Abingdon, VA 24210-3501 | 2013-05-17 |
| 1497891444 | Jenny Alice Rowe | Counselor | 3015 Benefit Ct, Abingdon, MD 21009-2943 | 2007-01-29 |
| 1245846674 | Dawnyell Wells | Counselor | 610 Campus Dr, Abingdon, VA 24210-2589 | 2020-09-21 |
| 1578179560 | Heather Jewell | Counselor | 610 Campus Dr, Abingdon, VA 24210-2589 | 2020-09-16 |
| Find all providers in ABINGDON | ||||
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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.