MS. LISA TETREAULT (NPI# 1710915376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710915376 |
| Entity Type | Individual |
| Full Name | MS. LISA TETREAULT |
| Credential | LMHC |
| Practice Address |
2200 Corporate Blvd. Nw Ste. 308 Boca Raton FL 33431 |
| Mailing Address |
11697 Timbers Way Boca Raton FL 33428 |
| Practice Telephone | 9548217127 |
| Practice Fax Number | 9543445683 |
| Mailing Telephone | 9548217127 |
| Mailing Fax Number | 9543445683 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH7062 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2200 CORPORATE BLVD. NW STE. 308 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1285258756 | Gagan Neupane | Student in an Organized Health Care Education/Training Program | Florida Atlantic University At Boca Raton, 670 Glades Road, Suite 400, Boca Raton, FL 33431 | 2020-06-01 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1497398358 | Dr Beverly Pedroche Inc | Psychologist | 4400 N, Federal Highway, Suite 210-48, Boca Raton, FL 33431 | 2019-10-23 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1275188898 | East Boca Pharmacy LLC | Pharmacy | 4800 Nw 2nd Ave, Suite 3, Boca Raton, FL 33431 | 2019-08-09 |
| 1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
| 1831652734 | Limitless Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2263 Nw Boca Blvd, Ste 201, Boca Raton, FL 33431 | 2019-04-09 |
| 1659841211 | Tlc Medical Solutions | Durable Medical Equipment & Medical Supplies | 4800 Nw Boca Raton Blvd Suite 5, Boca Raton, FL 33431 | 2018-11-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| Find all providers in zip 33431 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659630 | Sherrie Wade | Counselor | 260 Ne Wavecrest Way, Boca Raton, FL 33432-4220 | 2020-11-04 |
| 1396344040 | Lauren Lenter Shapiro | Counselor | 22158 Bella Lago Dr Apt 2108, Boca Raton, FL 33433-4824 | 2020-10-23 |
| 1639778574 | Jaime D'alessio | Counselor | 413 E Palmetto Park Rd Apt 953, Boca Raton, FL 33432-5195 | 2020-10-21 |
| 1194332502 | Sari Elissa Cohen | Counselor | 8190 Via Di Veneto, Boca Raton, FL 33496-1974 | 2020-09-29 |
| 1245847235 | Kristen Souza | Counselor | 10067 Akenside Dr, Boca Raton, FL 33428-3003 | 2020-09-24 |
| 1275143935 | Lindsay Haas Grobstein | Counselor | 4940 Nw 15th Ave, Boca Raton, FL 33431-3327 | 2020-08-06 |
| 1497380695 | Olga Sophia Grinfeld | Counselor | 751 Park of Commerce Dr Ste 128, Boca Raton, FL 33487-3623 | 2020-03-08 |
| 1386288629 | Lisheyna S Hurvitz | Counselor | 22715 Camino Del Mar, # 35, Boca Raton, FL 33433 | 2019-10-30 |
| 1205477486 | Deborah Hecker | Counselor | 1303 Bridgewood Dr, Boca Raton, FL 33434-4129 | 2019-09-30 |
| 1700434461 | Rikki Goldenberg | Counselor | 7777 Glades Rd Ste 321, Boca Raton, FL 33434-4150 | 2019-08-27 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33431 |
Please comment or provide details below to improve the information on MS. LISA TETREAULT.
| 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.