LISA J CORDERO (NPI# 1740889294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740889294 |
| Entity Type | Individual |
| Full Name | LISA J CORDERO |
| Credential | PSY.D, LMHC, LPC |
| Practice Address |
12700 Trotter Blvd Davie FL 33330-4311 |
| Practice Telephone | 3055280461 |
| Mailing Telephone | 3055280461 |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH1009 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679668941 | Lisa Cordero | Nurse Practitioner | 490 Liberty Street, Chesapeake, VA 23324 | 2006-10-04 |
| 1053779835 | Lisa Cordero | Counselor | 1945 Ne 205th Ave, Fairview, OR 97024-9622 | 2016-02-08 |
| Street Address |
12700 TROTTER BLVD |
| City | DAVIE |
| State | FL |
| Zip Code | 33330-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1508365982 | Sun Coast Recovery Ranch LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Rd, Southwest Ranches, FL 33330 | 2018-02-12 |
| 1487153441 | Everglades Physicians Alliance LLC | Internal Medicine | 4745 Volunteer Road, Suite 301, Davie, FL 33330 | 2018-02-06 |
| 1639689532 | Tariq Azeez | Occupational Therapy Assistant | 4301 S Flamingo Road #101, Davie, FL 33330 | 2017-10-05 |
| 1497129597 | Right Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Road, Southwest Ranches, FL 33330 | 2015-11-30 |
| 1104202878 | Meghan Ashley Oswain | Occupational Therapist | 3141 Sw 118 Terrace, Davie, FL 33330 | 2015-08-05 |
| 1588075089 | Nicole Santiago | Respiratory Therapist, Registered | 5117 Sw 122nd Terrace, Cooper City, FL 33330 | 2014-05-19 |
| 1205180171 | Richard L. Sherman, D.d.s. | Dentist | 4725 Sw 148 Ave. Suite 203, Davie, FL 33330 | 2012-10-31 |
| 1952612996 | Vikram V Thakar | Podiatrist | 11302 Sw 55 St, Cooper City, FL 33330 | 2010-06-24 |
| 1376875344 | Carlos E. Spera, Md, Pa | Clinic/Center | 12575 Orange Drive #303, Davie, FL 33330 | 2010-02-02 |
| Find all providers in zip 33330 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821600222 | Lyle Howard Milstein | Counselor | 6260 Hawkes Bluff Ave, Davie, FL 33331-3418 | 2020-08-18 |
| 1831713635 | Jennifer Silva | Counselor | 4646 Sw 107th Ter, Davie, FL 33328-3234 | 2020-06-08 |
| 1679195556 | Mindy Green | Counselor | 6562 S Anise Ct, Davie, FL 33314-3917 | 2020-05-13 |
| 1194354985 | Nakita M. Charles | Counselor | 10400 Griffin Rd Ste 304c, Davie, FL 33328-3300 | 2020-04-03 |
| 1144865478 | Childrens Corner Art Therapy for Children | Counselor | 4801 S University Dr Ste 253, Davie, FL 33328-3836 | 2019-11-11 |
| 1750931358 | Sarah Rohan | Counselor | 1713 Whitehall Dr Apt 402, Davie, FL 33324-6930 | 2019-09-16 |
| 1801350335 | Christina Pershad | Counselor | 14540 Greenbriar Pl, Davie, FL 33325-6372 | 2019-01-29 |
| 1174002711 | Susana Potter | Counselor | 11913 Sw 13th Ct, Davie, FL 33325 | 2018-08-13 |
| 1770060329 | Claudia Caprio | Counselor | 4789 Sw 148th Ave Ste 104, Davie, FL 33330-2120 | 2018-07-26 |
| 1649763939 | Shannon Rosado | Counselor | 1355 S Nob Hill Rd, Davie, FL 33324-4231 | 2018-06-11 |
| Find all providers in DAVIE | ||||
Please comment or provide details below to improve the information on LISA J CORDERO.
| 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.