MS. MARA LISA PROFT (NPI# 1144474248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144474248 |
Entity Type | Individual |
Full Name | MS. MARA LISA PROFT |
Credential | M.S., L.P.C. |
Practice Address |
W6905 Parkview Dr Ste A Greenville WI 54942-9099 |
Mailing Address |
N1366 Woodland Dr Greenville WI 54942-8035 |
Practice Telephone | 9205407214 |
Mailing Telephone | 9205407214 |
Enumeration Date | 2008-11-17 |
Last Update Date | 2008-11-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
736-125 | WI | Behavioral Health & Social Service Providers |
Street Address |
W6905 PARKVIEW DR STE A |
City | GREENVILLE |
State | WI |
Zip Code | 54942-9099 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336233287 | James P Rodowca | Acupuncturist | W6905 Parkview Dr Ste A, Greenville, WI 54942-9099 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124669908 | Kelly Hoyer | Technician | W7211 Midnight Ct, Greenville, WI 54942 | 2019-10-03 |
1164986717 | Rxlink Medical | Durable Medical Equipment & Medical Supplies | N922 Tower View Dr Ste 202, Greenville, WI 54942 | 2019-01-29 |
1225557457 | Kelly Irene Watras | Massage Therapist | W6905 Parkview Drive, Greenville, WI 54942 | 2017-09-19 |
1730277245 | Patrick Shannon Dewar | Chiropractor | N1734 Municipal Drive, Greenville, WI 54942 | 2006-10-10 |
1679730998 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | W6981 Parkview Dr, Greenville, WI 54942 | 2008-05-22 |
1194896886 | Greenville Chiropractic Inc. | Point of Service | N1734 Municipal Drive, Greenville, WI 54942 | 2006-11-13 |
1427154228 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | W6981 Parkview Dr, Greenville, WI 54942 | 2006-09-16 |
1740716836 | Anthony Weinandt Jr. | Student in an Organized Health Care Education/Training Program | N1075 Alexandra Way, Greenville, WI 54942-2301 | 2017-05-10 |
1386823466 | Julie Ann Abboud | Podiatrist | N1697 Municipal Dr, Suite 3, Greenville, WI 54942-7700 | 2007-10-25 |
1164713509 | Greenville Foot & Ankle Center, LLC | Podiatrist | N1697 Municipal Dr, Suite 3, Greenville, WI 54942-7700 | 2011-04-19 |
Find all providers in zip 54942 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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1902426927 | Kristy Nicole Wood | Counselor | 114 Cherry Ct Apt D, Greenville, NC 27858-4274 | 2020-04-20 |
1578192936 | Magnolia Health & Wellness | Counselor | 211 Commerce St Ste C, Greenville, NC 27858-5030 | 2020-04-06 |
1093354482 | Another Way Counseling, LLC | Counselor | 202 Tanner Chase Way, Greenville, SC 29607-6402 | 2020-01-02 |
1073157913 | A Soothing & Comforting Touch, Inc | Counselor | 301 Airport Rd Ste E, Greenville, SC 29607-2610 | 2019-11-04 |
1073178992 | Chameka Konswela Duncan | Counselor | 126 Wild Dogwood Way, Greenville, SC 29605-5966 | 2019-05-06 |
1679137269 | Youth Full Innovations of The Carolina's, LLC | Counselor | 151 Commons Way Ste C1, Greenville, SC 29611-3850 | 2019-04-29 |
1851955165 | Crew Case Management and Consulting Services South LLC | Counselor | 210 W Stone Ave Ste Lr1, Greenville, SC 29609-5493 | 2019-04-23 |
1437610789 | Positive Directions, LLC | Counselor | 25 Woods Lake Rd Ste 321, Greenville, SC 29607-2762 | 2019-03-28 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 54942 |
Please comment or provide details below to improve the information on MS. MARA LISA PROFT.
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.