LISA DOUGLAS (NPI# 1588280085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588280085 |
| Entity Type | Individual |
| Full Name | LISA DOUGLAS |
| Practice Address |
2060 Duck Rd Summerville PA 15864-6022 |
| Practice Telephone | 8147155851 |
| Mailing Telephone | 8147155851 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC012450 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972943124 | Lisa Marie Douglas | Marriage & Family Therapist | 2002 Vanderbilt Ln Apt C, Redondo Beach, CA 90278-3062 | 2013-07-02 |
| 1770921447 | Lisa Marie Douglas | Specialist | 1421 N Washington St, Forrest City, AR 72335-2146 | 2013-06-04 |
| 1881686681 | Lisa Douglas | Pharmacist | 977b Taylor St Sw, Conyers, GA 30012-5357 | 2005-08-17 |
| 1760842215 | Lisa Douglas | Occupational Therapist | 2535 Fort Amanda Rd, Lima, OH 45804-3728 | 2016-02-25 |
| 1376762914 | Lisa Douglas | Counselor | 7464 W Sahara Ave, Las Vegas, NV 89117-2740 | 2007-04-24 |
| 1639281959 | Lisa Renae Douglas | Genetic Counselor, MS | 12 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2006-08-31 |
| Street Address |
2060 DUCK RD |
| City | SUMMERVILLE |
| State | PA |
| Zip Code | 15864-6022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907259 | Pawsitive Paths To Healing and Recovery | Counselor | 2060 Duck Rd, Summerville, PA 15864-6022 | 2020-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104976869 | Summerville Volunteer Firemen's Association | Ambulance | 12795 Harrison St, Summerville, PA 15864 | 2007-01-12 |
| 1457653974 | Kimberly Kristine Ferris | Speech-Language Pathologist | 1253 Spruce Rd, Summerville, PA 15864-3629 | 2010-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618063 | Amber Taylor | Advanced Practice Midwife | 137 Wainwright Mnr, Summerville, SC 29485-5214 | 2020-10-29 |
| 1740880061 | Pledger Behavior Consulting, LLC | Counselor | 7563 Highway 337, Summerville, GA 30747-6101 | 2020-10-27 |
| 1619575453 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1035 Jockey Ct, Summerville, SC 29483-5217 | 2020-10-14 |
| 1215535406 | Amy Wilkerson | Massage Therapist | 605 Poplar Grove Pl, Summerville, SC 29483-1681 | 2020-10-11 |
| 1932706587 | Devynn Galloway | Specialist/Technologist | 111 Springview Ln Apt 623, Summerville, SC 29485-8773 | 2020-10-07 |
| 1487261616 | Lisa Lacroix | Dietitian, Registered | 5010 W Liberty Meadows Dr, Summerville, SC 29485-7939 | 2020-10-01 |
| 1821605965 | Rachel Duncan | Speech-Language Pathologist | 9730 Dorchester Rd Unit 206, Summerville, SC 29485-9034 | 2020-09-23 |
| 1730795022 | Coastal Kids Therapy LLC | Occupational Therapist | 237 Palmetto Walk Dr, Summerville, SC 29486-2708 | 2020-09-22 |
| 1134734262 | Palmetto Primary Care Physicians, LLC | Radiology | 5500 Front St Ste 240, Summerville, SC 29486-7735 | 2020-09-15 |
| 1720693039 | Ppcp Specialty Physicians, LLC | Psychiatry & Neurology | 5500 Front St Ste 230, Summerville, SC 29486-7735 | 2020-09-14 |
| Find all providers in SUMMERVILLE | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447885504 | Anna Flores Gibson | Counselor | 304 Mondo Ct, Summerville, SC 29486-8454 | 2020-03-10 |
| 1710535737 | Patsy Y Johnson I | Counselor | 110 Abbey Ln, Summerville, SC 29485-8007 | 2019-09-03 |
| 1649733700 | Lowcountry Therapy of Sc LLC | Counselor | 208 W 7th North St, Summerville, SC 29483-6621 | 2019-04-07 |
| 1801367263 | Shanelle Fields | Counselor | 222 Varnfield Dr, Summerville, SC 29483-7331 | 2018-12-11 |
| 1356870091 | Brooke Williams | Counselor | 210 Buttercup Ln, Summerville, SC 29486-2378 | 2017-06-07 |
| 1861941668 | Stacey Hipps Page | Counselor | 11578 Highway 27, Summerville, GA 30747-5873 | 2016-09-22 |
| 1356754311 | Carol S Conway | Counselor | 112 Paladin Dr, Summerville, SC 29485-4129 | 2014-06-07 |
| 1790030674 | Deborah S Farris | Counselor | 777 Back Penn Rd, Summerville, GA 30747-5961 | 2012-07-17 |
| 1730492885 | Selena Wilson | Counselor | 134 Heather Dr, Summerville, SC 29483-1795 | 2010-07-19 |
| 1437479995 | Amy Mitchell-washington | Counselor | 605 W 5th North St, Summerville, SC 29483-6164 | 2010-06-08 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 15864 |
Please comment or provide details below to improve the information on LISA DOUGLAS.
| 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.