MRS. LARISA S AGREST (NPI# 1710112198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710112198 |
| Entity Type | Individual |
| Full Name | MRS. LARISA S AGREST |
| Credential | LMT |
| Practice Address |
4 Carriage Ln Charleston SC 29407-6065 |
| Mailing Address |
1376 Parkshore Dr Charleston SC 29407-3124 |
| Practice Telephone | 8437661119 |
| Mailing Telephone | 8436077143 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 1496 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4 CARRIAGE LN |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-6065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649249194 | Harriett Wills Grady-thomas | Social Worker | 4 Carriage Ln, Suite 108, Charleston, SC 29407-6065 | 2006-03-16 |
| 1285036673 | Krista Godek | Social Worker | 4 Carriage Ln, Charleston, SC 29407-6065 | 2014-09-17 |
| 1023451333 | Jennifer Lynn Kuhn | Behavioral Analyst | 4 Carriage Ln, Suite 302, Charleston, SC 29407-6065 | 2013-04-17 |
| 1972845196 | South Carolina Mentor | Early Intervention Provider Agency | 4 Carriage Ln, Suite 302, Charleston, SC 29407-6065 | 2013-03-26 |
| 1356617781 | Calvin Jonathan Bosman LLC | Psychiatry & Neurology | 4 Carriage Ln, Suite 300-c, Charleston, SC 29407-6065 | 2012-03-29 |
| 1003181827 | Andrea Claire D'andrea | Social Worker | 4 Carriage Ln, Suite 203-b, Charleston, SC 29407-6065 | 2012-03-12 |
| 1578831939 | Carlysle Barfield, Md, LLC | Internal Medicine | 4 Carriage Ln, Suite 400 E, Charleston, SC 29407-6065 | 2011-12-13 |
| 1972822369 | Lisa Hays | Counselor | 4 Carriage Ln, Suite 302, Charleston, SC 29407-6065 | 2010-05-25 |
| 1457670093 | Ange Mary Oneal | Counselor | 4 Carriage Ln, Suite 302, Charleston, SC 29407-6065 | 2010-05-21 |
| 1619108818 | Laura Marika Charin | Behavioral Analyst | 4 Carriage Ln, Suite 302, Charleston, SC 29407-6065 | 2009-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464173 | Gabriel Gates | Massage Therapist | 1235 Ashley Garden Blvd, Charleston, SC 29414-9211 | 2020-10-15 |
| 1225635394 | Natalie Dora Marie Castaneda | Massage Therapist | 35 Crosscreek Dr Apt C1, Charleston, SC 29412-2511 | 2020-10-02 |
| 1043826332 | Elizabeth Laird | Massage Therapist | 575 Riser Dr, Charleston, SC 29412-2750 | 2020-09-22 |
| 1821642505 | Tanisha Johnson | Massage Therapist | 1 Unity Alley Ste 100, Charleston, SC 29401-3057 | 2019-07-30 |
| 1497317317 | Stephen Redmon | Massage Therapist | 1 Unity Aly, Charleston, SC 29401-3057 | 2019-07-01 |
| 1720644784 | Jeffrey Irwin | Massage Therapist | 1144 Tidal View Ln, Charleston, SC 29412-8420 | 2019-05-15 |
| 1699231027 | April C Callaway | Massage Therapist | 5316 Lincoln Highway Rd, Charleston, IL 61920-8038 | 2019-02-11 |
| 1649779885 | Amee Beckner | Massage Therapist | 717 Lee St E Ste 411, Charleston, WV 25301-1734 | 2018-02-02 |
| 1487172151 | Susanne Nicole Hoffman | Massage Therapist | 1656 Franklin Ave, Charleston, WV 25311-2123 | 2017-09-01 |
| 1467992941 | Jennifer Hodges Riley | Massage Therapist | 1042 5th Ave Lot 26, Charleston, SC 29407-2102 | 2017-03-02 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
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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.