MS. LISA MICHELLE SLADE (NPI# 1518103399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518103399 |
| Entity Type | Individual |
| Full Name | MS. LISA MICHELLE SLADE |
| Credential | LPC |
| Practice Address |
1115 Main St Ste 702 Bridgeport CT 06604-4406 |
| Mailing Address |
72 Read St Bridgeport CT 06607-2016 |
| Practice Telephone | 2033345500 |
| Mailing Telephone | 2033682769 |
| Enumeration Date | 2008-12-27 |
| Last Update Date | 2008-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0001781 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396879953 | Lisa H. Slade | Dentist | 8607 2nd Ave Ste 201a, Silver Spring, MD 20910-6352 | 2007-03-15 |
| 1013080027 | Lisa Deloris Slade | Nurse Practitioner | 605 Stadium Dr, Hattiesburg, MS 39401-4156 | 2006-11-16 |
| 1912012253 | Lisa Slade | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2006-08-19 |
| Street Address |
1115 MAIN ST STE 702 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568006526 | Wendy Jones | Counselor | 297 Bradley St, Bridgeport, CT 06610-1911 | 2019-11-03 |
| 1881242485 | Jared Maggi | Counselor | 3250 Fairfield Ave Apt 212, Bridgeport, CT 06605-3271 | 2019-08-28 |
| 1396202289 | Joseph A Graziano Jr. | Counselor | 174 University Ave, Bridgeport, CT 06604-5728 | 2019-02-27 |
| 1780130674 | Gary Vertula | Counselor | 260 Robin St, Bridgeport, CT 06606-4440 | 2016-08-30 |
| 1275983512 | Janelle Titus | Counselor | 142 Wade St, Bridgeport, CT 06604-1817 | 2016-06-17 |
| 1558717181 | Catherine Mcauliffe | Counselor | 1000 Lafayette Blvd Fl 11, Bridgeport, CT 06604-4725 | 2016-05-12 |
| 1326408485 | Elisabeth Parker | Counselor | 1150 Fairfield Ave, Bridgeport, CT 06605-1118 | 2016-03-02 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1609292648 | Margaret Creeth | Counselor | 475 Clinton Avenue, Fsw Inc, Bridgeport, CT 06605-1700 | 2014-03-14 |
| 1548682560 | Rebecca Fiest | Counselor | 175 Ridgeway Dr, Bridgeport, WV 26330-1176 | 2014-01-10 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
Please comment or provide details below to improve the information on MS. LISA MICHELLE SLADE.
| 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.