LISA MICHELLE STEPHANS (NPI# 1649700212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649700212 |
| Entity Type | Individual |
| Full Name | LISA MICHELLE STEPHANS |
| Credential | LAPC |
| Practice Address |
12586 North Main Street Trenton GA 30752 |
| Mailing Address |
501 Mize St La Fayette GA 30728-3346 |
| Practice Telephone | 7069565526 |
| Practice Fax Number | 7066392054 |
| Mailing Telephone | 7066385580 |
| Mailing Fax Number | 7066392054 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
APC005882 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00604513-GA | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1875 Fant Dr, Fort Oglethorpe, GA 307423307 | 7068613387 | 7066392054 |
| Street Address |
12586 NORTH MAIN STREET |
| City | TRENTON |
| State | GA |
| Zip Code | 30752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126492 | Frederic Oehlschlaeger | Pharmacist | 5431 Ga-136, Trenton, GA 30752 | 2019-10-25 |
| 1881019305 | Crystal L Hancock | Nurse Practitioner | 12978 North Main Street, Trenton, GA 30752 | 2014-02-20 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1699021360 | Megan Hall Nunn | Pharmacist | 112 Crimson Drive, Trenton, GA 30752 | 2012-07-31 |
| 1881886398 | Complete Chiropractic Care, LLC | Chiropractor | 12551 North Main, Trenton, GA 30752 | 2007-08-17 |
| 1184783771 | Cindy Marie Simmons | Physician Assistant | 111 North Pine Street, Trenton, GA 30752 | 2006-12-08 |
| 1124190962 | Lookout Mountain Community Services | Community/Behavioral Health | 12580 North Main St., Trenton, GA 30752 | 2006-11-15 |
| 1386725893 | Dade County Board of Health | Public Health or Welfare | 71 Case Ave, Suite H100, Trenton, GA 30752 | 2006-10-18 |
| 1164435954 | Denis L Mcdonald | Optometrist | 5377 Hwy 136, Trenton, GA 30752 | 2006-08-14 |
| 1912376492 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 112 Crimson Drive, Trenton, GA 30752 | 2015-09-15 |
| Find all providers in zip 30752 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437791142 | Vicki Wang | Counselor | 720 Bellevue Ave, Trenton, NJ 08618-4406 | 2019-10-14 |
| 1770099285 | Coral Enid Velez-perez | Counselor | 443 Walnut Ave, Trenton, NJ 08609-1533 | 2017-12-19 |
| 1811413883 | Beacon of Wellness, Incorporated | Counselor | 40 W Lafayette St, Trenton, NJ 08608-2011 | 2017-08-21 |
| 1235682915 | Wisdom Zio | Counselor | 70 S Walter Ave, Trenton, NJ 08609-1542 | 2016-07-28 |
| 1689027187 | Kristhel Ortega | Counselor | 44 Division St, Trenton, NJ 08611-1034 | 2016-07-20 |
| 1235508474 | Kevin Stansbury Jr. | Counselor | 15 Cummings Place, Trenton, NJ 08611 | 2015-09-17 |
| 1780053090 | Jennifer K. Seyez | Counselor | 7529 Sw 60th St, Trenton, FL 32693 | 2015-09-16 |
| 1396122743 | Kweadi Nyema | Counselor | 427 S Olden Ave, Trenton, NJ 08629-1728 | 2015-05-05 |
| 1891182648 | Britney Ford | Counselor | 105 Durand Ave, Trenton, NJ 08611-3209 | 2015-04-20 |
| 1013329960 | Ebony White | Counselor | 802 E State St, Trenton, NJ 08609-1412 | 2014-05-27 |
| Find all providers in TRENTON | ||||
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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.