MRS. LISA MARIE PATRICK (NPI# 1578790838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578790838 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE PATRICK |
| Credential | LPC |
| Practice Address |
210 E Grubbs St Enterprise AL 36330-2646 |
| Mailing Address |
1 Reindeer Trce Enterprise AL 36330-8127 |
| Practice Telephone | 9126605712 |
| Mailing Telephone | 9126605712 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
5224 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
3968 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528258969 | Lisa Patrick | Dentist | 601 E Naylor Mill Rd, Ste. E, Salisbury, MD 21804-2256 | 2007-08-01 |
| 1437775061 | Lisa Denine Patrick | Social Worker | 1652 N Business Route 5, Camdenton, MO 65020 | 2020-06-19 |
| 1730648957 | Lisa Patrick | Social Worker | 545 1st Ave, New York, NY 10016-6401 | 2019-03-18 |
| 1043643299 | Lisa Joan Patrick | Respiratory Therapist, Registered | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2013-08-12 |
| 1518117860 | Lisa Patrick | Counselor | 2055 Garrett Way, Ste 1, Pocatello, ID 83201-5100 | 2008-09-23 |
| 1689837403 | Lisa Patrick | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Place, Mount Sinai Dept of Emergency Medicine, New York, NY 10029 | 2008-07-02 |
| 1952561045 | Lisa Marie Patrick | Psychiatry & Neurology | 130 E 77th St, 3 Black Hall, New York, NY 10075-1851 | 2008-06-11 |
| Street Address |
210 E GRUBBS ST |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245653989 | Southeast Alabama Autism Center | Behavioral Analyst | 210 E Grubbs St, Suite 1, Enterprise, AL 36330-2646 | 2014-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| Find all providers in zip 36330 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727266 | Jessica Lea Hawken | Counselor | 202 Britt Dr, Enterprise, AL 36330-7882 | 2020-10-12 |
| 1225635196 | Angel's Pond Counseling | Counselor | 208 Searcy St, Enterprise, AL 36330-2739 | 2020-10-05 |
| 1093325268 | Keith Aaron Cates | Counselor | 903 W College St, Enterprise, AL 36330-2846 | 2020-08-03 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1659763746 | Pamela Dawson Mckowen | Counselor | 103 Rosemount Ct, Enterprise, AL 36330-2384 | 2015-02-26 |
| 1265746671 | Thomas Justice White | Counselor | 103 Creek Ct, Enterprise, AL 36330-2113 | 2010-07-28 |
| 1851554091 | Stefanie Lynn Archie | Counselor | 127 E College St, Enterprise, AL 36330-2517 | 2008-07-08 |
| 1295996130 | David Benjamin Dunn II | Counselor | 1247 Rucker Blvd, Suite B, Enterprise, AL 36330-3631 | 2008-06-23 |
| 1609033638 | Charlotte Patricia Windom | Counselor | 1311 Rucker Blvd, Enterprise, AL 36330-2234 | 2008-05-19 |
| 1750920005 | Collaborating for Educational Success, LLC | Counselor | 557 Glover Ave Ste 3, Enterprise, AL 36330-2070 | 2020-01-04 |
| Find all providers in ENTERPRISE | ||||
| City | ENTERPRISE |
| Zip Code | 36330 |
Please comment or provide details below to improve the information on MRS. LISA MARIE PATRICK.
| 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.