MARY LIZ GRAHAM (NPI# 1528617164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528617164 |
| Entity Type | Individual |
| Full Name | MARY LIZ GRAHAM |
| Other Name | LIZ GRAHAM |
| Credential | MSW |
| Practice Address |
4124 Mission Trace Blvd Tallahassee FL 32303-1702 |
| Practice Telephone | 8504086526 |
| Mailing Telephone | 8504086526 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629693270 | Mary Briggs Graham | Speech-Language Pathologist | 445 Porterfield Hwy Sw Ste B, Abingdon, VA 24210-2583 | 2020-06-10 |
| 1033732615 | Mary Amanda Graham | Counselor | 510 S 35th St, Tacoma, WA 98418-6824 | 2020-05-18 |
| 1265835607 | Mary Anna Graham | Licensed Practical Nurse | 92 Malden Ave, Palenville, Palenville, NY 12463-2511 | 2014-09-30 |
| 1437563111 | Mary Graham | Licensed Vocational Nurse | 13417 Orourke Dr, Pflugerville, TX 78660-5682 | 2014-06-20 |
| 1508279282 | Mary Graham | Occupational Therapist | 3091 Governors Lake Dr, Suite 580, Norcross, GA 30071-1143 | 2014-06-10 |
| 1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
| 1932360534 | Mary Graham | Social Worker | 16 Acadia Shrs, Woolwich, ME 04579-4574 | 2008-06-17 |
| 1730112954 | Mary Lynn Graham | Audiologist-Hearing Aid Fitter | 1316 Rock Cliff Dr, Martinsburg, WV 25401-3278 | 2006-07-09 |
| 1811995103 | Mary Lou Graham | Nurse Practitioner | 14 Cedar St, New Britain, CT 06052-1302 | 2005-07-11 |
| 1336142561 | Mary Margaret Graham | Podiatrist | 1130 Western Ave, Chillicothe, OH 45601-1174 | 2005-05-23 |
| Street Address |
4124 MISSION TRACE BLVD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32303-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679051601 | Anna Jacobs | Occupational Therapy Assistant | 6040 Michaela Way, Tallahassee, FL 32303 | 2018-08-01 |
| 1780101501 | Jacqueline Lee Barksdale | Social Worker | 975 Commonwealth Blvd, Tallahasse, FL 32303 | 2017-08-23 |
| 1780118547 | Osborne LLC | Social Worker | 1018 Thomasville Road, Tallahassee, FL 32303 | 2017-04-18 |
| 1528508215 | Klc Personal Care | Assisted Living Facility | 5743 Jodphur Ct, Tallahassee, FL 32303 | 2017-03-01 |
| 1285180109 | Jenetta R Nelson | Social Worker | 807 Goodbread Lane, Tallahassee, FL 32303 | 2016-08-31 |
| 1902359805 | Brandon Alkire | Physical Therapist | 1660 N. Monroe St, #3, Tallahassee, FL 32303 | 2016-07-27 |
| 1093050957 | Kenneth A. Folsom | Hearing Instrument Specialist | 903 N Monroe St, #3, Tallahassee, FL 32303 | 2012-12-04 |
| 1235481466 | Annika Elizabeth Suarez | Speech-Language Pathologist | 1808 Medart Dr, Tallahassee, FL 32303 | 2012-10-11 |
| 1912257510 | David Voorting | Social Worker | 3107 Evanshire Place, Tallahassee, FL 32303 | 2012-09-12 |
| 1760754816 | Catherine Cleveland Smith | Physical Therapy Assistant | 5020 Riverwood Rd, Tallahassee, FL 32303 | 2012-02-06 |
| Find all providers in zip 32303 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773395 | Keshia Latoya Coffie | Counselor | 1833 Halstead Blvd Apt 407, Tallahassee, FL 32309-3472 | 2020-08-31 |
| 1063023059 | Sarah Farmer | Counselor | 1910 Longview Dr, Tallahassee, FL 32303-7322 | 2020-08-12 |
| 1316558729 | Megan Dasbach | Counselor | 1120 Carissa Dr, Tallahassee, FL 32308-5219 | 2020-08-11 |
| 1972113819 | Alyssa L Lapp | Counselor | 317 Stone House Rd, Tallahassee, FL 32301-3355 | 2020-08-05 |
| 1023635885 | Kimberly Damron | Counselor | 1624 Norwood Ln, Tallahassee, FL 32312-4115 | 2020-06-28 |
| 1083242309 | Sarah Jane Burke | Counselor | 1009 Pine St, Tallahassee, FL 32303-6437 | 2020-03-31 |
| 1578198248 | Thomson Ivins | Counselor | 175 Geddie Rd, Tallahassee, FL 32304 | 2020-03-03 |
| 1285270520 | Norine Cardea | Counselor | The Healing Center, 847 East Park Avenue, Tallahassee, FL 32301 | 2019-11-21 |
| 1184268203 | Josue Jean | Counselor | 1111 High Rd Apt C101, Tallahassee, FL 32304-1835 | 2019-10-31 |
| 1427609700 | Rene Blue | Counselor | 2750 Old Saint Augustine Rd Apt Q173, Tallahassee, FL 32301-6228 | 2019-09-27 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32303 |
Please comment or provide details below to improve the information on MARY LIZ GRAHAM.
| 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.