LISA NOWELL


Address: 1340 Ridgewood Ave, Holly Hill, FL 32117-2320
Phone: 3866767175

LISA NOWELL (NPI# 1871879437) 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) 1871879437
Entity Type Individual
Full Name LISA NOWELL
Credential LMHC
Practice Address 1340 Ridgewood Ave
Holly Hill
FL 32117-2320
Mailing Address 1811 N Merrick Dr
Deltona
FL 32738-4952
Practice Telephone 3866767175
Practice Fax Number 3866767134
Mailing Telephone 4072763210
Enumeration Date 2011-10-27
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH 3139 FL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1811 N Merrick Dr, Deltona, FL 327384952 4072763210

Other Providers LISA NOWELL

NPI Name Taxonomy Address Enumeration
1376084335 Lisa Nowell Physician Assistant 1650 New Brighton Blvd, Minneapolis, MN 55413-1643 2017-03-10
1972765394 Lisa Anne Nowell Pediatrics 15 N Broadway, Suite F, White Plains, NY 10601-2214 2008-06-26

Office Location

Street Address 1340 RIDGEWOOD AVE
City HOLLY HILL
State FL
Zip Code 32117-2320

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932102159 Johnsie Carol Grigg Emergency Medicine 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 2005-05-23
1912419342 Karen Michelle Berkeley Social Worker 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 2017-10-25
1316396492 Jackie S Miller Pharmacist 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 2016-06-08
1487008538 Nikki Dungan Pharmacist 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 2016-04-14
1568862852 Jeremy Wright Physician Assistant 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 2014-08-25
1881015576 Liem Phan Pharmacist 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 2013-12-23
1013342617 Terri Lynn Cimmerer Pharmacist 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 2013-09-13
1205185154 Kaila Lauren Letizia-wang Pharmacist 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 2012-09-06
1669742474 Mary Flynn Boener Social Worker 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 2012-01-10
1811277403 John Barnes Pharmacist 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 2011-08-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992350409 Erin Selfridge Pharmacist 1500 Beville Rd #300, Daytona Beach, FL 32117 2019-08-02
1881185494 Wellspring Health, LLC Chiropractor 701 Ridgewood Ave, Holly Hills, FL 32117 2018-05-21
1780172791 L & L Db, LLC Clinic/Center 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 2018-04-25
1154837789 Brittany Nikolow Nurse Practitioner 1717 N. Clyde Morris, Daytona Beach, FL 32117 2017-12-19
1205356946 Alejandro Andre Pabon Rodriguez Nurse Anesthetist, Certified Registered Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 2017-06-23
1316492135 Ann Van Herck Physical Therapist 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 2016-08-22
1952784779 Kathryn Brenna Copley Nurse Practitioner 1890 Lpga Blvd., Daytona Beach, FL 32117 2015-06-30
1053719559 Alicia Graham Case Manager/Care Coordinator 1570 Megan Bay Circle, Holly Hill, FL 32117 2014-12-15
1578974440 Halifax Senior Care Inc Clinic/Center 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 2014-05-14
1013345883 Kist Alf, Inc Assisted Living Facility 1516 Carmen Avenue, Daytona Beach, FL 32117 2013-10-14
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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
1487082491 Tiffany Vogt Counselor 1375 Gilway Ext., Holly Hill, SC 29059-0505 2013-10-30
1174893671 Cynthia Jean Harris Maddox Counselor 316 Scotland Dr, Holly Hill, FL 32117-4254 2011-12-31
1053624262 Stephanie R Jamison Counselor 421 Gardener Boulevard, Holly Hill, SC 29059 2010-07-16
1629002415 Catherine Hezekiah Counselor 1375 Gilway Extension, Holly Hill, SC 29059 2006-07-10
1255648028 Jamison Consultant's, LLC Counselor 421 Gardener Boulevard, Holly Hill, SC 29059 2010-09-01
1457676116 Nathan P Wharton Counselor 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 2010-04-06
1699969956 Linda Anne Rodgers Counselor 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 2007-08-30
1316055072 Shaunette L Lloyd Counselor 1375 Gilway Extension, Holly Hill, SC 29059 2006-08-25
1164456844 David Mickell Counselor 1375 Gilway Extension, Holly Hill, SC 29059 2006-07-10
1235163064 Harold O Wilson Counselor 1375 Gilway Extension, Holly Hill, SC 29059 2006-07-10
Find all providers in HOLLY HILL

Competitor

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City HOLLY HILL
Zip Code 32117

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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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