LISA KING SMITH (NPI# 1508242850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508242850 |
| Entity Type | Individual |
| Full Name | LISA KING SMITH |
| Credential | LPC |
| Practice Address |
309 Tanner St Carrollton GA 30117-3207 |
| Practice Telephone | 4043752036 |
| Mailing Telephone | 4043752036 |
| Mailing Fax Number | 7708341865 |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
008378 | GA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC008378 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626403 | Lisa Whyeyeh Smith | Early Intervention Provider Agency | 6143 186th St Ste 436, Fresh Meadows, NY 11365-2710 | 2020-10-09 |
| 1982211280 | Lisa Marie Smith | Pharmacist | 5409 S 60th Pl, Rogers, AR 72758-8230 | 2020-09-30 |
| 1710590757 | Lisa M Smith | Occupational Therapy Assistant | 920 Westacre Rd, West Sacramento, CA 95691-3224 | 2020-08-28 |
| 1013531060 | Lisa Marie Smith | Student in an Organized Health Care Education/Training Program | 1465 County Road 232, Collinsville, TX 76233 | 2020-06-05 |
| 1699300350 | Lisa Kathryn Smith | Registered Nurse | 7913 Lakeview Dr, Denver, NC 28037-9265 | 2020-03-03 |
| 1821637778 | Lisa Ann Smith | Dietitian, Registered | 522 10th St, Aplington, IA 50604-1073 | 2019-12-24 |
| 1700421450 | Lisa Marie Smith | Nurse Practitioner | 4353 Heyward St, North Port, FL 34291-4561 | 2019-11-16 |
| 1982168290 | Lisa Lynn Smith | Acupuncturist | 531 Central Park Avenue, Suite 304, Searsdale, NY 10583 | 2019-01-31 |
| 1649753120 | Lisa Lynn Smith | Occupational Therapist | 355 Dogwood South Ln, Haughton, LA 71037-8511 | 2018-09-11 |
| 1083193270 | Lisa Smith | Occupational Therapist | 243 Raspberry Rd, Leola, PA 17540-2215 | 2018-08-09 |
| Street Address |
309 TANNER ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487760567 | Sheila Harrison | Counselor | 309 Tanner St, Carrollton, GA 30117-3207 | 2006-08-22 |
| 1649813049 | Stuart Murray Pearson | Counselor | 309 Tanner St, Carrollton, GA 30117-3207 | 2019-10-18 |
| 1407247000 | Kimberly Ann Prince Korobov | Counselor | 309 Tanner St, Carrollton, GA 30117-3207 | 2015-02-18 |
| 1447496385 | Mark Alan Kunkel | Psychologist | 309 Tanner St, Carrollton, GA 30117-3207 | 2008-12-24 |
| 1255492252 | Larry Schor | Counselor | 309 Tanner St, Carrollton, GA 30117 | 2006-12-13 |
| 1225117120 | Alfred Luther Richards | Counselor | 309 Tanner St, Carrollton, GA 30117-3207 | 2006-11-03 |
| 1770688012 | Elizabeth Morris Prince | Counselor | 309 Tanner St, Carrollton, GA 30117-3207 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972114643 | Jeremy Daniel Shain | Counselor | 101 Myrtle St, Carrollton, GA 30117-2212 | 2020-08-14 |
| 1245867233 | Stephanie Renay Butler | Counselor | 523 Dixie St Ste A, Carrollton, GA 30117-3870 | 2020-03-27 |
| 1619513751 | Melissa Florine Cochran | Counselor | 523 Dixie St Ste B, Carrollton, GA 30117-3870 | 2019-11-25 |
| 1225556798 | Kimberly Watkins | Counselor | 2688 Us Highway 227, Carrollton, KY 41008-8030 | 2017-09-06 |
| 1053772574 | Dieula Previlon | Counselor | 1518 E Frankford Rd, Carrollton, TX 75007-5623 | 2016-03-10 |
| 1437515822 | Susan Lyn Butler | Counselor | 122 Lee St, Carrollton, GA 30117-3315 | 2016-01-14 |
| 1427420629 | Kenneth R. Mcgowan | Counselor | 523 Dixie St Ste 4, Carrollton, GA 30117-3870 | 2015-10-27 |
| 1396116687 | Lisa Duffey | Counselor | 151 Howell Rd, Carrollton, GA 30117-4220 | 2015-10-12 |
| 1881060200 | Alicia Brigham | Counselor | 4020 Huffines Blvd Ste 121, Carrollton, TX 75010-6524 | 2015-08-19 |
| 1467832378 | Olga Garcia Swan | Counselor | 4311 Harvest Hill Rd, Carrollton, TX 75010-4127 | 2015-06-05 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on LISA KING SMITH.
| 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.