LORRAINE TAVAREZ LOPEZ


Address: 1 Windsor Cv Ste 404, Columbia, SC 29223-1833
Phone: 8039004849

LORRAINE TAVAREZ LOPEZ (NPI# 1770948457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770948457
Entity Type Individual
Full Name LORRAINE TAVAREZ LOPEZ
Credential LPES, BCBA
Practice Address 1 Windsor Cv Ste 404
Columbia
SC 29223-1833
Mailing Address 1057 Oakland Dr
Elgin
SC 29045-9279
Practice Telephone 8039004849
Mailing Telephone 7547790584
Enumeration Date 2015-12-22
Last Update Date 2020-03-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
4657 SC Behavioral Health & Social Service Providers
N 103TS0200X Psychologist
Specialization: School
4657 SC Behavioral Health & Social Service Providers
N 103TS0200X Psychologist
Specialization: School
FL Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst 1-20-41819 Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC LP1011 05

Office Location

Street Address 1 WINDSOR CV STE 404
City COLUMBIA
State SC
Zip Code 29223-1833

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649778036 New Horizons Family Resource Center, LLC Counselor 1 Windsor Cv Ste 404, Columbia, SC 29223-1833 2018-01-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619522794 Timothy Drew Edwards Dentist 122 N. Brickyard Rd, Columbia, SC 29223 2019-08-06
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1750824819 Marquita Heyward Counselor 1 Winsor Cove Suite 303, Columbia, SC 29223 2016-11-22
1578015509 Carolina Family Pharmacy, LLC Pharmacy 9153 Two Notch Road, Columbia, SC 29223 2016-10-25
1225485170 Lisa Diaz Occupational Therapy Assistant 7601 Parlane Rd, Columbia, SC 29223 2016-05-20
1295199859 Sarah Ann Riley Nurse Practitioner Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 2016-04-11
1134583214 Sara Alisha Pound Behavioral Analyst 97b Winterberry Ln, Columbia, SC 29223 2016-04-05
1508227653 Lucy Elvira Vicioso-harris Counselor 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 2016-03-17
1134585243 Robin Heaton Occupational Therapy Assistant 7601 Parklane Road, Columbia, SC 29223 2016-01-05
Find all providers in zip 29223

Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801007984 David H. Craig Psychologist 202 Sunnymeade Dr, Columbia, TN 38401-5225 2007-05-24
1477761252 Michael R Baum Psychologist 6438 Tauler Ct, Columbia, MD 21045-4530 2007-05-18
1922196187 James Luther Ellison Psychologist 33 Beacon Hill Rd, Columbia, SC 29210-5601 2006-10-11
1659529717 Midlands Counseling & Consulting Center, LLC Psychologist 2611 Forest Dr Ste 114a, Columbia, SC 29204-2372 2008-09-03
1538206735 Jerome Prezzy Psychologist 2611 Forest Dr, Suite 114a, Columbia, SC 29204-2379 2007-01-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003253386 Lynn Winfield Brown Jr. Psychologist 410 Poplar St, Florence, SC 29501-5126 2013-05-28
1386998821 Applied Behavioral Services Psychologist 53 Commons Ct, Pawleys Island, SC 29585-6301 2012-11-06
1447412440 Alonzo Jackson Cole IIi Psychologist 53 Commons Ct, Pawleys Island, SC 29585-6301 2008-06-30
1932369642 Rhonda Buford Psychologist 398 College Ave, Clemson, SC 29631-1432 2008-06-16
1508031006 Spectrum, Therapy, Assessment, Rehabilitation Psychologist 246 Carolinian Dr, Summerville, SC 29485-7854 2008-04-25

Competitor

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City COLUMBIA
Zip Code 29223

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Dataset Information

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.

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