LORRAINE NICOLE DURISSEAU (NPI# 1801195995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801195995 |
Entity Type | Individual |
Full Name | LORRAINE NICOLE DURISSEAU |
Credential | MA, LPC-MHSP |
Practice Address |
1635 Chestnut St Chattanooga TN 37408-1024 |
Practice Telephone | 8772588795 |
Enumeration Date | 2011-03-15 |
Last Update Date | 2016-05-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
2693 | TN | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
2693 | TN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q010986 | 05 |
Street Address |
1635 CHESTNUT ST |
City | CHATTANOOGA |
State | TN |
Zip Code | 37408-1024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629537154 | Danielle Nikole Beck | Counselor | 1635 Chestnut St, Chattanooga, TN 37408-1024 | 2019-03-14 |
1265925119 | Kara Ashley Holden | Case Manager/Care Coordinator | 1635 Chestnut St, Chattanooga, TN 37408-1024 | 2018-06-14 |
1609369016 | Kelsey Hart | Case Manager/Care Coordinator | 1635 Chestnut St, Chattanooga, TN 37408-1024 | 2018-06-11 |
1386135325 | Laura Lynn Smith | Case Manager/Care Coordinator | 1635 Chestnut St, Chattanooga, TN 37408 | 2018-05-25 |
1497244107 | Mariah Sharp | Case Manager/Care Coordinator | 1635 Chestnut St, Chattanooga, TN 37408-1024 | 2018-05-08 |
1073026969 | Brittany Renay Hill | Case Manager/Care Coordinator | 1635 Chestnut St, Chattanooga, TN 37408-1024 | 2017-11-14 |
1588177489 | Tiffany Bell | Case Manager/Care Coordinator | 1635 Chestnut St, Chattanooga, TN 37408-1024 | 2017-11-14 |
1164932638 | Eliseo Sanchez Jr. | Counselor | 1635 Chestnut St, Chattanooga, TN 37408-1024 | 2017-10-10 |
1194243139 | Laura Jensen Bertrand | Counselor | 1635 Chestnut St, Chattanooga, TN 37408-1024 | 2017-08-30 |
1982136099 | Marlenny Franco-johnson | Social Worker | 1635 Chestnut St, Chattanooga, TN 37408-1024 | 2017-03-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043766975 | Athletic Edge Physical Therapy | Clinic/Center | 1440 Adams St Ste A, Chattanooga, TN 37408 | 2016-08-31 |
1609287689 | Access 2 Rehab | Physical Therapist | 612 East 11th Street, Chattanooga, TN 37408 | 2014-05-13 |
1366873853 | Holli Richey | Social Worker | 320 E. Main St., Suite 200, Chattanooga, TN 37408 | 2013-12-09 |
1427397900 | Bevin Gracy | Counselor | 3069 Broad St Ste 7d, Chattanooga, TN 37408 | 2013-02-04 |
1932450756 | Tiffany Allen Hobbs | Registered Nurse | 1800 Rossville Avenue, Suite 114, Chattanooga, TN 37408 | 2012-09-20 |
1467708594 | Ctr. for Individ. & Family Effectiveness | Community/Behavioral Health | 2441 Broad St., Ste. 150, Chattanooga, TN 37408 | 2012-07-26 |
1538431192 | Brandon Tyler Whitworth | Physical Therapist | 1440 Adams St, Chattanooga, TN 37408 | 2012-01-29 |
1699059550 | David Jamison Mcdowell | Psychologist | 3097 S. Broad St., Chattanooga, TN 37408 | 2011-10-10 |
1093918385 | Jason L Reich | Counselor | 320 E Main Street, Suite 200, Chattanooga, TN 37408 | 2007-06-06 |
1063636785 | Carol Burns Stoney | Counselor | 3085 South Broad St, Suite J, Chattanooga, TN 37408 | 2007-04-12 |
Find all providers in zip 37408 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114533858 | Sarah Anne May | Counselor | 711 Signal Mountain Rd # 241, Chattanooga, TN 37405-1823 | 2020-09-18 |
1578065322 | Sasha Self | Counselor | 2100 Chapman Rd Ste 115, Chattanooga, TN 37421-1646 | 2018-03-07 |
1497256150 | Brian Clinton | Counselor | 5613 Tennessee Ave, Chattanooga, TN 37409-2331 | 2018-02-27 |
1114463353 | Christopher Harris | Counselor | 7429 Shallowford Rd, Chattanooga, TN 37421-2629 | 2017-01-11 |
1750741088 | Weena Rivera | Counselor | 936 Mountain Creek Rd E-59, Apt E59, Chattanooga, TN 37405 | 2016-02-29 |
1437518206 | Kristin Smith | Counselor | 3810 Lamar Ave, Chattanooga, TN 37415-4006 | 2016-02-22 |
1265831499 | Eric Ralston | Counselor | 8213 Igou Gap Rd, Chattanooga, TN 37421-2708 | 2014-08-13 |
1609210624 | William Knowles Dwyer | Counselor | 301 Belvoir Ave, Chattanooga, TN 37411-5104 | 2013-04-21 |
1427397900 | Bevin Gracy | Counselor | 3069 Broad St Ste 7d, Chattanooga, TN 37408 | 2013-02-04 |
1225308000 | Juliet Nicole Thomas | Counselor | 3421 Dayton Blvd, Chattanooga, TN 37415-4626 | 2012-01-10 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37408 |
Please comment or provide details below to improve the information on LORRAINE NICOLE DURISSEAU.
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.