MRS. LISA MARIE PHILLIPS (NPI# 1376610154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376610154 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE PHILLIPS |
| Credential | BS |
| Practice Address |
2710 12 Mile Rd Berkley MI 48072-1630 |
| Mailing Address |
19814 Delaware Ave Redford MI 48240-1516 |
| Practice Telephone | 2485431090 |
| Practice Fax Number | 2485430017 |
| Mailing Telephone | 3135437760 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1705289 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255580 | Lisa Kay Phillips | Behavior Technician | 22969 N Riverfront Dr, Mankato, MN 56001-5992 | 2020-02-04 |
| 1023590239 | Lisa Phillips | Rehabilitation Counselor | 6629 Spring Mill Cir, Baltimore, MD 21207-5579 | 2018-09-04 |
| 1407342298 | Lisa Phillips | Acupuncturist | 4995 Golden Foothill Pkwy Ste 5, El Dorado Hills, CA 95762-9645 | 2018-07-05 |
| 1184942542 | Lisa Cole Phillips | Massage Therapist | 5000 Back Square Dr Ste A2, Owensboro, KY 42301-7411 | 2010-05-10 |
| 1770791956 | Lisa Datta Phillips | Dentist | 14422 Orchard Pkwy, Ste 200, Westminster, CO 80023-9273 | 2007-05-19 |
| 1417172362 | Lisa Kay Phillips | Counselor | 120 N Market St, Oskaloosa, IA 52577-2827 | 2007-04-16 |
| 1265552855 | Lisa Ann Phillips | Specialist | 199 Hoffman Ave, Auburn, CA 95603-4209 | 2007-03-29 |
| 1942358346 | Lisa Phillips | Speech-Language Pathologist | 1048 Lancaster St, Leominster, MA 01453-4559 | 2007-01-08 |
| 1497378269 | Lisa Phillips | Social Worker | 1348 Bainbridge St, Philadelphia, PA 19147-1810 | 2020-05-27 |
| 1578102570 | Lisa Phillips | Dietitian, Registered | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2019-12-23 |
| Street Address |
2710 12 MILE RD |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033237920 | Dale Williams | Counselor | 2710 12 Mile Rd, Berkley, MI 48072-1630 | 2007-03-27 |
| 1609991850 | Kathleen Carolin | Counselor | 2710 12 Mile Rd, Berkley, MI 48072-1630 | 2007-03-20 |
| 1457476665 | Dennis Yager | Counselor | 2710 12 Mile Rd, Berkley, MI 48072-1630 | 2007-03-20 |
| 1114042173 | Sandra Love-campbell | Counselor | 2710 12 Mile Rd, Berkley, MI 48072-1630 | 2007-03-20 |
| 1174648133 | Charles Norbury | Counselor | 2710 12 Mile Rd, Berkley, MI 48072-1630 | 2007-03-20 |
| 1326162199 | Ruth Katz | Counselor | 2710 12 Mile Rd, Berkley, MI 48072-1630 | 2007-03-19 |
| 1356465132 | Mary Ann Matta | Counselor | 2710 12 Mile Rd, Berkley, MI 48072-1630 | 2007-03-19 |
| 1578687257 | Leia Wolfe | Counselor | 2710 12 Mile Rd, Berkley, MI 48072-1630 | 2007-03-19 |
| 1376667451 | Kyle John Bremmeyr | Counselor | 2710 12 Mile Rd, Berkley, MI 48072-1630 | 2007-03-16 |
| 1104940295 | Gregory Allen Hills | Counselor | 2710 12 Mile Rd, Berkley, MI 48072-1630 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1881834984 | Lynell Dennis Crew | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2009-03-02 |
| 1134278153 | Lisa Marie Cassani-robitaille | Counselor | 4 Maple Dr, Berkley, MA 02779-1425 | 2007-01-09 |
| 1700411410 | Glenbeigh Psychological Care LLC | Counselor | 15 Stanley Ave, Berkley, MA 02779-1917 | 2020-03-03 |
| 1740601632 | Kristine Schade | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2013-12-19 |
| 1972843928 | Peter Marsh | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2013-02-27 |
| 1912247107 | Robert Furwa | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2013-02-25 |
| 1851662134 | Leilani Edmonds | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2012-01-19 |
| 1528357191 | Jason Phillip Cauley | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2011-04-04 |
| 1083923254 | Eric Shawn Molitor | Counselor | 2710 W 12 Mile Rd, Berkley, MI 48072-1630 | 2010-10-05 |
| Find all providers in BERKLEY | ||||
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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.