STEVEN LYLE LISCUM


Address: 2032 Pine Needle Ct, Gastonia, NC 28056-1661
Phone: 7049134849

STEVEN LYLE LISCUM (NPI# 1316372246) 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) 1316372246
Entity Type Individual
Full Name STEVEN LYLE LISCUM
Credential LPCA
Practice Address 2032 Pine Needle Ct
Gastonia
NC 28056-1661
Practice Telephone 7049134849
Mailing Telephone 7049134849
Enumeration Date 2013-09-11
Last Update Date 2013-09-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
A10308 NC Behavioral Health & Social Service Providers

Office Location

Street Address 2032 PINE NEEDLE CT
City GASTONIA
State NC
Zip Code 28056-1661

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1669846200 Kathryn Carol O'neil Physician Assistant 3302 S New Hope Rd Ste 100b, Gastonia, NC 28056 2015-11-19
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1679883250 Sabrina M Kuiken Pharmacist 2500 E. Franklin Blvd, Gastonia, NC 28056 2010-10-15
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700356623 Greater Developmental Achievements Counselor 2020 Remount Rd Ste E105, Gastonia, NC 28054-7476 2018-12-04
1659841112 Steven Christopher Land Counselor 1517 Spencer Mountain Rd, Gastonia, NC 28054-3016 2018-11-27
1083131049 Leah Webster Counselor 1554c Union Rd Ste 5, Gastonia, NC 28054-5541 2017-08-29
1528509262 Chad Mcghee Counselor 2397 Erika Ln, Gastonia, NC 28056-8800 2017-03-14
1033653050 Cindy Odom Counselor 1305 E Garrison Blvd, Gastonia, NC 28054-5127 2016-12-09
1982152245 Wendy Johnston Counselor 1554c Union Rd Ste 4, Gastonia, NC 28054-5541 2016-09-15
1558734855 Doreen Velazquez Counselor 2005 Angler Way, Gastonia, NC 28052-7182 2015-11-09
1942622907 Jennifer Harrington Counselor 839 Majestic Court, Unit 9, Gastonia, NC 28054 2014-01-10
1477997310 Rachel Marie Hartman Counselor 2408 Cricket Ln, Gastonia, NC 28052-5091 2013-04-22
1225390545 Shenickie Lashea Mauney Counselor 1216 E Hudson Blvd, Apt. U, Gastonia, NC 28054-6105 2012-06-12
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Competitor

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City GASTONIA
Zip Code 28056

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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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