GINA STORK


Address: 3662 Garber Ave, Lake City, IA 51449-7554
Phone: 7127909318

GINA STORK (NPI# 1801213871) 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) 1801213871
Entity Type Individual
Full Name GINA STORK
Credential LMHC
Practice Address 3662 Garber Ave
Lake City
IA 51449-7554
Practice Telephone 7127909318
Mailing Telephone 7127909318
Enumeration Date 2014-03-27
Last Update Date 2014-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
001715 IA Behavioral Health & Social Service Providers

Office Location

Street Address 3662 GARBER AVE
City LAKE CITY
State IA
Zip Code 51449-7554

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184719767 Harris Drug, Inc. Pharmacy 121 East Main St., Lake City, IA 51449 2006-10-03
1427168749 David Joseph Verbik Dentist 1331 West Main Street, Lake City, IA 51449 2006-08-30
1760921951 Jeremie Lee Kent Driver 1115 W Main St, Lake City, IA 51449 2017-02-21
1811025984 Cynthia Joan Grear Pharmacist 121 W. Main Street, Lake City, IA 51449 2007-03-01
1669521027 Rock Vision Clinic PC Optometrist 1341 W Main St, Lake City, IA 51449-0124 2007-01-08
1770634677 Craig Steven Rock Optometrist 1341 W Main St, Lake City, IA 51449-0124 2007-01-16
1285784280 Jonathan Paul Judisch Optometrist 1341 W Main St, Lake City, IA 51449-0124 2007-01-11
1912141946 Charles Smith Loeck Dentist 1100 N Douglas St, Lake City, IA 51449-1111 2009-04-21
1932357944 Southern Cal Community School District Local Education Agency (LEA) 709 W Main St, Lake City, IA 51449-1500 2008-09-03
1255601811 Cesar A. Cardenas Surgery 1400 W Main St, Lake City, IA 51449-1577 2012-01-12
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992303846 Colette L Bone Counselor 919 Godfrey Rd, Lake City, PA 16423-2110 2020-10-13
1487203956 Amber Renee Granger Baughman Counselor 691 Nw Jean Ct, Lake City, FL 32055-7062 2019-09-08
1649730219 Ricketta Tiara Arline Counselor 260 S Marion Ave Ste 105, Lake City, FL 32025-7034 2019-03-21
1154716447 Lindsey Morton Counselor 219 Se Baya Avenue, Lake City, FL 32055 2015-04-02
1861886277 Resolutions Health Alliance, P Counselor 1344 Se Baya Dr, Lake City, FL 32025-4888 2015-03-24
1881012292 Rachel Christian Parker Counselor 3546 Sw State Road 247, Lake City, FL 32024-0785 2014-04-02
1578990784 North Florida Center for Counseling, LLC Counselor 260 South Marion Avenue Suite 140, Lake City, FL 32025 2013-10-02
1184924649 Stephanie Dayle Douglas Counselor 197 Sw Sarah Ct, Lake City, FL 32024-3852 2010-10-29
1326278433 Lydia Dryer Marohn Counselor 356 S Marion Ave, Lake City, FL 32025-5261 2009-07-23
1760643324 Janet Boggs Kuykendall Counselor 248 N Marion Ave, Lake City, FL 32055-2863 2008-06-17
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Competitor

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City LAKE CITY
Zip Code 51449

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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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