LISA SULLIVAN (NPI# 1366875197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366875197 |
Entity Type | Individual |
Full Name | LISA SULLIVAN |
Credential | LPC |
Practice Address |
3740 Colony Dr Ste 260 San Antonio TX 78230-2233 |
Mailing Address |
700 Johnson Dr Kerrville TX 78028-8333 |
Practice Telephone | 2016271129 |
Mailing Telephone | 2016271129 |
Mailing Fax Number | 2106160829 |
Enumeration Date | 2013-08-15 |
Last Update Date | 2020-02-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5555 Fredericksburg Rd, #102, San Antonio, TX 782293500 | 2106160828 | 2106160829 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285282459 | Lisa Sullivan | Behavior Technician | 719 N Hillview Dr, Boise, ID 83712-8122 | 2019-08-29 |
1184183550 | Lisa Sullivan | Contractor | 113 Constitution Ct Apt A, Albany, GA 31721-2150 | 2019-03-15 |
1336486414 | Lisa Marie Sullivan | Social Worker | 18 Rose Pl, Selden, NY 11784-3122 | 2013-01-10 |
1144579418 | Lisa Sullivan | Specialist | 252 California Ct, Mission Viejo, CA 92692-4098 | 2012-09-02 |
1811205750 | Lisa Renee Sullivan | Physician Assistant | 44305 Harmony Ln, Belleville, MI 48111-2449 | 2010-09-14 |
1700014065 | Lisa Hadeler Sullivan | Physical Therapist | 1420 Hwy 36, Hazlet, NJ 07730-1736 | 2009-06-25 |
1083874127 | Lisa Meghan Sullivan | Massage Therapist | 1640 Selby Ave Apt 6, Saint Paul, MN 55104-7379 | 2008-06-12 |
1841380375 | Lisa C. Sullivan | Pediatrics | 4950 Se Roethe Rd, Milwaukie, OR 97267-5746 | 2006-10-13 |
1386650273 | Lisa Marie Sullivan | Allergy & Immunology | 737 Saint Johns Ave, Highland Park, IL 60035-4650 | 2006-07-31 |
1023059813 | Lisa Hope Sullivan | Physical Therapist | 15 Neil Ct, Inside Jcc, Oceanside, NY 11572-5815 | 2006-06-10 |
Street Address |
3740 COLONY DR STE 260 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78230-2233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
Find all providers in zip 78230 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235738311 | Jade Hodges | Counselor | 1402 Brook Run, San Antonio, TX 78232-5133 | 2020-10-20 |
1821696063 | Brent Crowson | Counselor | 23602 Enchanted Path, San Antonio, TX 78260-4323 | 2020-10-10 |
1730787961 | Alexander W Casserly | Counselor | 3442 Wellsprings Dr, San Antonio, TX 78230-2512 | 2020-10-09 |
1578170270 | Magno Solutions LLC | Counselor | 10422 Castello Cyn, San Antonio, TX 78254-4644 | 2020-09-26 |
1073120184 | Stacie Dziuk | Counselor | 12139 Bowie Ml, San Antonio, TX 78253-5879 | 2020-09-23 |
1508471293 | Sandra Jean Bar-yadin | Counselor | 12000 Network Blvd Ste 300, San Antonio, TX 78249-3344 | 2020-09-10 |
1316551039 | Mateo David Ayala, Texas Counseling | Counselor | 9818 Village Briar, San Antonio, TX 78250-5718 | 2020-09-01 |
1841801412 | Ijeoma Chinwe Too-chiobi | Counselor | 11467 Huebner Rd, San Antonio, TX 78230-1595 | 2020-08-16 |
1851901516 | Kenny Garza | Counselor | 5000 Walzem Rd, San Antonio, TX 78218 | 2020-08-06 |
1851900468 | Vanessa Montemayor Perez | Counselor | 330 Pennystone Ave, San Antonio, TX 78223-1825 | 2020-07-29 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78230 |
Please comment or provide details below to improve the information on LISA SULLIVAN.
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.