LISA S CLARK (NPI# 1952680324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952680324 |
| Entity Type | Individual |
| Full Name | LISA S CLARK |
| Practice Address |
1223 Meadow Lake Rd Rockledge FL 32955-8403 |
| Practice Telephone | 3217504483 |
| Mailing Telephone | 3217504483 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154776912 | Lisa Clark | Counselor | 8722 Heaton St, New Orleans, LA 70118-2616 | 2016-04-29 |
| 1548694383 | Lisa G Clark | Speech-Language Pathologist | 2405 Champaign Ave, Mattoon, IL 61938-2646 | 2013-08-28 |
| 1073857801 | Lisa Ann Clark | Specialist | 1110 Chenango St, Binghamton, NY 13901-1668 | 2012-11-16 |
| 1134456445 | Lisa Lynn Clark | Occupational Therapist | 85 Lunt Rd, Brunswick, ME 04011-7289 | 2009-11-06 |
| 1437485836 | Lisa Landers Clark | Counselor | 1 Waterford Ln, Savannah, GA 31411-1305 | 2009-10-20 |
| 1710146220 | Lisa M Clark | Nurse Practitioner | University Hosp Medical Center Stony Brk, Dept Pediatrics Hsc 11th Floor, Stony Brook, NY 11794-0001 | 2008-06-09 |
| 1376742841 | Lisa M Clark | Specialist | 4308 N 26th St, Tacoma, WA 98407-5211 | 2007-07-15 |
| 1356453260 | Lisa M Clark | Dentist | Bonham Family Dentistry, 101 E 9th Street, Bonham, TX 75418 | 2006-08-31 |
| 1598779100 | Lisa Bardy Clark | Family Medicine | 12815 Highway 98 West, Suite 116, Destin, FL 32550 | 2006-07-28 |
| 1952378226 | Lisa Clark | Psychologist | 225 Medical Way, Riverdale, GA 30274-2522 | 2006-03-04 |
| Street Address |
1223 MEADOW LAKE RD |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-8403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847096 | Erica Graber | Counselor | 4235 Us Highway 1, Rockledge, FL 32955-5312 | 2020-06-26 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1679034946 | Mary Elizabeth Ann Laburda | Counselor | 1041 Seminole Dr, Rockledge, FL 32955-1985 | 2019-03-28 |
| 1497257133 | Tysha Kenyetta Pittman | Counselor | 1021 Cascade Cir Apt 208, Rockledge, FL 32955-8074 | 2018-03-07 |
| 1659808210 | Patricia Edmond | Counselor | 351 Castlewood Ln, Rockledge, FL 32955-4754 | 2017-05-15 |
| 1336681634 | Debra Stagman | Counselor | 1210 Apple Creek Ln, Rockledge, FL 32955-8211 | 2016-11-17 |
| 1124482625 | Laurie Ann Blake | Counselor | 1037 Pathfinder Way Ste 103, Rockledge, FL 32955-3242 | 2016-04-11 |
| 1477913358 | Marlene Guerrero | Counselor | 4491 Aberdeen Cir, Rockledge, FL 32955 | 2016-03-04 |
| 1982077228 | Nella Ciciulla | Counselor | 1290 Us Highway 1, Rockledge, FL 32955-2712 | 2015-11-09 |
| 1255739892 | Griszel Long | Counselor | 300 Jarrett Ave, Rockledge, PA 19046-4227 | 2014-12-14 |
| Find all providers in ROCKLEDGE | ||||
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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.