DR. LISSA DAVIS TCHERNIS (NPI# 1023250388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023250388 |
| Entity Type | Individual |
| Full Name | DR. LISSA DAVIS TCHERNIS |
| Other Name | DR. LISSA DAVIS |
| Credential | PH.D. |
| Practice Address |
108 E Ponce De Leon Ave 208 Decatur GA 30030-2512 |
| Mailing Address |
108 E Ponce De Leon Ave Suite 208 Decatur GA 30030-2512 |
| Practice Telephone | 6788272760 |
| Practice Fax Number | 6783181730 |
| Mailing Telephone | 6788272760 |
| Mailing Fax Number | 6783181730 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2013-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003404 | GA | Behavioral Health & Social Service Providers |
| Street Address |
108 E PONCE DE LEON AVE 208 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346320447 | Dominique Harmon Ware | Social Worker | 108 E Ponce De Leon Ave, Suite 200, Decatur, GA 30030-2512 | 2006-10-16 |
| 1922346253 | Rebecca Shaw | Counselor | 108 E Ponce De Leon Ave, Suite 208, Decatur, GA 30030-2512 | 2013-01-22 |
| 1104173269 | Meredith Eileen Griffith | Counselor | 108 E Ponce De Leon Ave, 208, Decatur, GA 30030-2512 | 2012-08-08 |
| 1659637528 | Kensa K. Gunter | Psychologist | 108 E Ponce De Leon Ave, Suite 208, Decatur, GA 30030-2512 | 2012-04-05 |
| 1528352093 | Susan Lynn Vanous | Social Worker | 108 E Ponce De Leon Ave, Suite 200, Decatur, GA 30030-2512 | 2011-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280709 | Imani Psychological Services, Inc | Psychologist | 315 W Ponce De Leon Ave Ste 725, Decatur, GA 30030-2464 | 2019-11-20 |
| 1326513102 | Brittany Denise Baker | Psychologist | 1670 Clairmont Rd Rm 3b250, Decatur, GA 30033-4004 | 2018-10-09 |
| 1194228460 | Amy Elizabeth Wingard | Psychologist | 2366 Harrington Dr, Decatur, GA 30033-4902 | 2018-03-13 |
| 1386016301 | Christopher Awosika | Psychologist | 2848 Vining Ridge Ter, Decatur, GA 30034-7500 | 2015-10-29 |
| 1477976173 | Rhea Gordon Phd LLC | Psychologist | 1439 Mclendon Drive, Decatur, GA 30033-1841 | 2014-01-31 |
| 1093054413 | Life Center Counseling and Resources | Psychologist | 1 W Court Sq, Suite 750, Decatur, GA 30030-2538 | 2013-02-05 |
| 1376896696 | Delia L Lang | Psychologist | 2440 Lawrenceville Hwy Ste 200, Decatur, GA 30033-3267 | 2012-10-24 |
| 1407105703 | Virginia L Goetsch, Ph.d., LLC | Psychologist | 775 Commerce Dr, Suite 903, Decatur, GA 30030-2620 | 2012-08-31 |
| 1801022413 | Lisa Clark Enterprises, Inc | Psychologist | 2785 Lawrenceville Hwy Ste 207, Decatur, GA 30033-2515 | 2009-06-09 |
| 1114196912 | Ausborn Behavioral Care, P.C. | Psychologist | 1456 Mclendon Dr Ste B, Decatur, GA 30033-1848 | 2008-02-26 |
| Find all providers in DECATUR | ||||
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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.