MRS. LISA LANELLE WYLY (NPI# 1770610040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770610040 |
| Entity Type | Individual |
| Full Name | MRS. LISA LANELLE WYLY |
| Credential | CADC II |
| Practice Address |
2731 Nugget Ave Lake Isabella CA 93240 |
| Mailing Address |
6625 Laurel Avenue Po Box 568 Lake Isabella CA 93204 |
| Practice Telephone | 7603793412 |
| Practice Fax Number | 7603795332 |
| Mailing Telephone | 7603793412 |
| Mailing Fax Number | 7603795332 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C8528805 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2731 NUGGET AVE |
| City | LAKE ISABELLA |
| State | CA |
| Zip Code | 93240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336290345 | Annette Olvera Nunez | Case Manager/Care Coordinator | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2007-01-16 |
| 1740800770 | Desiree Sue Pearman | Case Manager/Care Coordinator | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2020-04-20 |
| 1437778628 | Michelle Angelica Priesol | Case Manager/Care Coordinator | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2020-04-08 |
| 1609405737 | Amanda Kathleen Chase | Case Manager/Care Coordinator | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2020-04-01 |
| 1851928170 | Madison Victoria Walker | Social Worker | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2020-03-25 |
| 1568002566 | Kathleen Freaney | Social Worker | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2020-01-08 |
| 1033759030 | Heather Alldredge Menzel | Counselor | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2020-01-08 |
| 1538706494 | Susan Shaw | Counselor | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2019-12-10 |
| 1699311050 | Kailyn Laskowski | Case Manager/Care Coordinator | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2019-11-20 |
| 1164065132 | Rochelle Votaw Mendia | Case Manager/Care Coordinator | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2019-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568001 | Chelsea Rose Vega | Case Manager/Care Coordinator | 2731 Nugget Aveune, Lake Isabella, CA 93240 | 2020-01-30 |
| 1891224655 | David Travis Stirling | Chiropractor | 3615 Wagon Wheel Dr, Lake Isabella, CA 93240 | 2017-06-06 |
| 1629442017 | Parinaz Khojastehfar | Pharmacist | 5530 Lake Isabella, Lake Isabella, CA 93240 | 2015-11-23 |
| 1184040610 | Joseph M Kent Dds Inc. | Dentist | 6421 Lynch Canyon Drive, Lake Isabella, CA 93240 | 2014-03-07 |
| 1720347495 | Patricia Maria Arellano | Massage Therapist | 3611 Wagon Wheel, Lake Isabella, CA 93240 | 2012-05-15 |
| 1104154533 | College Community Services | Community/Behavioral Health | 2717 Nugget Avenue, Lake Isabella, CA 93240 | 2009-11-23 |
| 1407028442 | Faith Lucille Morrison | Massage Therapist | 5540 Kern Valley Plaza, Lake Isabella Blvd, Lake Isabella, CA 93240 | 2008-03-31 |
| 1730388992 | Kent Edward Skogerson | Surgery | 4612 Laurel Ave, Lake Isabella, CA 93240 | 2007-07-17 |
| 1275749145 | Trung Nguyen | Dentist | 5640 Lake Isabella Blvd # A5, Box 3254, Lake Isabella, CA 93240 | 2007-05-15 |
| 1184840209 | Robert A Rachal | Hearing Instrument Specialist | 6040 B Lake Isabella Blvd, Lake Isabella, CA 93240 | 2007-04-17 |
| Find all providers in zip 93240 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759030 | Heather Alldredge Menzel | Counselor | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2020-01-08 |
| 1982269650 | Deborah Mariana Burger-texeira | Counselor | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2019-05-07 |
| 1972991800 | Charles E Foster | Counselor | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2014-12-30 |
| 1285056317 | Terry Holbrook | Counselor | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2014-01-08 |
| 1649421819 | Walter Edward Urfer | Counselor | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2008-10-07 |
| 1538379474 | Nicholas Anthony Nardone | Counselor | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1538760871 | Ky Washington | Counselor | 1625 Sweetwater Rd # C1, National City, CA 91950-7647 | 2020-11-03 |
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1548869266 | Yama Totakhail | Counselor | 915 Bryant St # 94103, San Francisco, CA 94103-4514 | 2020-10-23 |
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1285233155 | Alaric Fairchild | Counselor | 1400 N Johnson Ave Ste 1011400n, El Cajon, CA 92020-1650 | 2020-10-21 |
| 1487253571 | Roxanne Rene Coito | Counselor | 1919 Apple St # D, Oceanside, CA 92054-4425 | 2020-10-20 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ISABELLA |
| Zip Code | 93240 |
Please comment or provide details below to improve the information on MRS. LISA LANELLE WYLY.
| 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.