LORI SUE WILSON (NPI# 1629256409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629256409 |
Entity Type | Individual |
Full Name | LORI SUE WILSON |
Credential | MSW, LISAC |
Practice Address |
2480 N Palo Verde Blvd #103 Tucson AZ 85716-2548 |
Mailing Address |
7464 S Nevil Dr Tucson AZ 85746-2565 |
Practice Telephone | 5203226980 |
Mailing Telephone | 5208836105 |
Mailing Fax Number | 5208836105 |
Enumeration Date | 2008-02-04 |
Last Update Date | 2008-02-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-11771 | AZ | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427665660 | Lori Lyn Wilson | Peer Specialist | 12700 Sw 53rd St, Mustang, OK 73064-7257 | 2020-09-30 |
1588205058 | Lori Wilson | Registered Nurse | 5512 Canyon Bluff Ln, Rosharon, TX 77583-2091 | 2019-10-04 |
1538401344 | Lori Rhae Wilson | Rehabilitation Practitioner | 1620 Granite Dr, Reno, NV 89509-3997 | 2013-03-19 |
1528344611 | Lori A. Wilson | Speech-Language Pathologist | 3830 Paulding Ave., Lavelle School for The Blind, Bronx, NY 10469 | 2011-11-02 |
1518274505 | Lori Anne Wilson | Acupuncturist | 3010 5th Ave, San Diego, CA 92103-5841 | 2010-09-11 |
1679727010 | Lori N Wilson | Marriage & Family Therapist | 615 Piikoi St., #203, Honolulu, HI 96814 | 2008-11-12 |
1134340714 | Lori Anne Wilson | Psychologist | 6602 N. 75th Ave, Glendale, AZ 85303-3536 | 2007-05-01 |
1861409203 | Lori S Wilson | Dentist | 2010 Wakefield Ave, Petersburg, VA 23805-2112 | 2006-08-01 |
1417970682 | Lori B Wilson | Midwife, Lay | 2211 N Weber St, Colorado Springs, CO 80907-6946 | 2006-07-26 |
1548256498 | Lori L Wilson | Surgery | 263 Farmington Ave, Mc 1614, Neag Comprehensive Cancer Center - Surg Onc, Farmington, CT 06030-0001 | 2005-09-26 |
Street Address |
2480 N PALO VERDE BLVD #103 |
City | TUCSON |
State | AZ |
Zip Code | 85716-2548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
Find all providers in zip 85716 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
1508490673 | Terrence Hickey | Counselor | 11235 E Sundance Dr, Tucson, AZ 85749-8280 | 2020-02-27 |
1568092815 | Travis Anderson | Counselor | 2002 W Anklam Rd, Tucson, AZ 85745-2148 | 2020-01-24 |
1740830447 | Let All Thrive, LLC | Counselor | 1580 N Kolb Rd Ste 200, Tucson, AZ 85715-4933 | 2019-09-13 |
1316424526 | Wendy Sizer LLC | Counselor | 425 W Paseo Redondo Apt 3b, Tucson, AZ 85701-8258 | 2018-07-20 |
1841705043 | Cynthia Miller Potter | Counselor | 4144 E Broadway Blvd, Tucson, AZ 85711-3455 | 2017-12-10 |
1447791165 | Juan M. Salgado | Counselor | 7490 S. Camino De Oeste, Tucson, AZ 85757 | 2017-03-14 |
1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
1104374255 | Shannon Dexter Petrovich | Counselor | 5855 N Kolb Rd Unit 4208, Tucson, AZ 85750-0991 | 2016-09-19 |
Find all providers in TUCSON |
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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.