LISA MARIE GREEN (NPI# 1639409444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639409444 |
Entity Type | Individual |
Full Name | LISA MARIE GREEN |
Credential | LPC |
Practice Address |
11401 Interstate 30 Little Rock AR 72209-7042 |
Practice Telephone | 5014876010 |
Mailing Telephone | 5012026470 |
Mailing Fax Number | 5012026475 |
Enumeration Date | 2009-12-30 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
P1404044 | AR | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1308 E Kiehl Ave, Sherwood, AR 721203040 | 5014876010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558869529 | Lisa A Green | Nurse Practitioner | 50 Township Line Rd Bldg Suiteg01, Elkins Park, PA 19027-2249 | 2018-01-25 |
1316966047 | Lisa S. Green | Optometrist | 1180 N Court St Ste F, Circleville, OH 43113-1397 | 2006-07-19 |
1164402863 | Lisa R Green | Optometrist | 2400 Hospital Rd Bldg 3, Tuskegee, AL 36083 | 2006-01-19 |
1558349654 | Lisa Ann Green | Chiropractor | 1304 N University Dr, Coral Springs, FL 33071-6623 | 2006-01-09 |
1326678723 | Lisa Green | Case Management | 700 Cottage Brook Ln, Webster, NY 14580-8654 | 2020-01-24 |
1033779467 | Lisa H Green | Registered Nurse | 1102 Monroe St Sw, Huntsville, AL 35801-5029 | 2019-06-18 |
1558830596 | Lisa Green | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-11-20 |
1043795628 | Lisa Michelle Green | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2018-09-28 |
1306355797 | Lisa Diane Green | Nurse Practitioner | 650 W Lincoln Trail Blvd, Radcliff, KY 40160-2681 | 2017-09-28 |
1043739485 | Lisa Kay Green | Case Manager/Care Coordinator | 110 N Bailey Ave, North Platte, NE 69101-5436 | 2017-09-18 |
Street Address |
11401 INTERSTATE 30 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72209-7042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417943671 | Mahmood A Khan | Anesthesiology | 11401 Interstate 30, Little Rock, AR 72209-7042 | 2005-09-23 |
1992046692 | Baptist Health | Community/Behavioral Health | 11401 Interstate 30, Little Rock, AR 72209-7042 | 2013-03-06 |
1992950638 | Baptist Health Medical Center | Psychiatric Unit | 11401 Interstate 30, Behavioral Services, Little Rock, AR 72209-7042 | 2008-11-21 |
1649467234 | Lydia Inpatient Services | Internal Medicine | 11401 Interstate 30, Little Rock, AR 72209-7042 | 2007-09-27 |
1740331362 | Dorinda Valdez Haddock | Social Worker | 11401 Interstate 30, Little Rock, AR 72209-7042 | 2007-01-12 |
1750445276 | Stanley Luke Crawford Jr. | Psychiatry & Neurology | 11401 Interstate 30, Little Rock, AR 72209-7042 | 2006-12-20 |
1225135783 | Justin W Billins | Registered Nurse | 11401 Interstate 30, Little Rock, AR 72209-7042 | 2006-09-19 |
1750322897 | Little Rock Hma Inc | Psychiatric Unit | 11401 Interstate 30, Little Rock, AR 72209-7042 | 2006-06-09 |
1669411302 | Little Rock Hma Inc | General Acute Care Hospital | 11401 Interstate 30, Little Rock, AR 72209-7042 | 2006-06-06 |
1336194786 | Little Rock Hma Inc | Family Medicine | 11401 Interstate 30, Little Rock, AR 72209-7042 | 2006-05-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
1659913861 | Jerry Dean Swiney | Technician | 8401 Community Road, Little Rock, AR 72209 | 2019-10-09 |
1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
1235582560 | Elite Medical Care, LLC | Respiratory Therapist, Registered | 11701 Interstate 30 Ste 100, Little Rock, AR 72209 | 2016-07-21 |
1154772127 | Aminah Henderson | Case Manager/Care Coordinator | 9914 I-30 Frontage Rd., Little Rock, AR 72209 | 2016-06-30 |
1295151504 | Properly Aligned LLC | Chiropractor | 7117 Geyer Springs, Little Rock, AR 72209 | 2014-03-11 |
1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
1124378039 | Samuel Edward Adkins | Counselor | 9914 I-30 Frontage Road, Little Rock, AR 72209 | 2012-09-18 |
1073806790 | Gabrielle Stewart | Counselor | 9914 I-30 Frontage Rd, Little Rock, AR 72209 | 2011-05-27 |
1285951079 | Charles Jenson | Psychiatry & Neurology | 11321 Interstate 30 Ste 304, Little Rock, AR 72209 | 2010-05-03 |
Find all providers in zip 72209 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
1114562071 | Ariel Brown | Counselor | 10 Remington Dr, Little Rock, AR 72204-8202 | 2019-11-14 |
1972159267 | Arkansas Baptist Children's Homes and Family Ministries | Counselor | 12400 I-30, Little Rock, AR 72210 | 2019-08-13 |
1518526664 | James Wesley Johnson Jr. | Counselor | 415 N Mckinley St Ste 520, Little Rock, AR 72205-3175 | 2019-06-12 |
1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
1255886560 | Amelia H Lewis | Counselor | 12115 Hinson Rd Ste 400, Little Rock, AR 72212-3476 | 2016-08-17 |
1003234675 | Jill Gorman Lpc LLC | Counselor | 1501 N University Ave Ste 700, Little Rock, AR 72207-5297 | 2014-04-01 |
1780926857 | Ezekeil Kinchen | Counselor | 3804 W Charles Bussey Ave, 3804 W Chas Bussey Ave, Little Rock, AR 72204-3902 | 2013-03-26 |
1285979609 | Charles Richard Chamblee Jr. | Counselor | 11401 I-30, Little Rock, AR 72209-7042 | 2012-12-11 |
1992062996 | Whitney Norris | Counselor | 10800 Financial Ctr, #290, Little Rock, AR 72211 | 2012-04-13 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72209 |
Please comment or provide details below to improve the information on LISA MARIE GREEN.
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.