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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | LP1011 | 05 |
Street Address |
1 WINDSOR CV STE 404 |
City | COLUMBIA |
State | SC |
Zip Code | 29223-1833 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
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 Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
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 |
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 |
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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.