MS. LISA ANN FIRULLO (NPI# 1669424636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669424636 |
| Entity Type | Individual |
| Full Name | MS. LISA ANN FIRULLO |
| Credential | LPC |
| Practice Address |
903 Northeast Dr Suite 301 Davidson NC 28036-7416 |
| Mailing Address |
Po Box 1467 Cornelius NC 28031-1467 |
| Practice Telephone | 7049419419 |
| Mailing Telephone | 7049419419 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2009-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4287 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6102348 | 05 |
| Street Address |
903 NORTHEAST DR SUITE 301 |
| City | DAVIDSON |
| State | NC |
| Zip Code | 28036-7416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841736899 | Kimberly Welliver | Counselor | 903 Northeast Dr, Suite 201, Davidson, NC 28036-7416 | 2017-01-16 |
| 1205295409 | Benjamin James Epstein | Physician Assistant | 903 Northeast Dr, Davidson, NC 28036-7416 | 2016-02-16 |
| 1699152025 | Crystal Kelly | Nurse Practitioner | 903 Northeast Dr, Suite 301, Davidson, NC 28036-7416 | 2015-05-06 |
| 1831589258 | Heather Vankoughnett | Counselor | 903 Northeast Dr, Suite 201, Davidson, NC 28036-7416 | 2015-01-24 |
| 1558617258 | Virgil J Foster | Social Worker | 903 Northeast Dr, Suite 102, Davidson, NC 28036-7416 | 2012-07-31 |
| 1952675902 | Deborah Bryan Parrott | Social Worker | 903 Northeast Dr, Suite 101, Davidson, NC 28036-7416 | 2012-03-07 |
| 1710275391 | Great Expectations Counseling Services | Counselor | 903 Northeast Dr, Suite 101, Davidson, NC 28036-7416 | 2011-07-15 |
| 1962710830 | Linda Cook Cason, Ma Lpc, P.C. | Counselor | 903 Northeast Dr, Suite 101, Davidson, NC 28036-7416 | 2010-09-14 |
| 1346577111 | Carina Wise | Marriage & Family Therapist | 903 Northeast Dr, Suite 201, Davidson, NC 28036-7416 | 2009-11-15 |
| 1932432960 | Cynthia Lee Sapp | Psychologist | 903 Northeast Dr, Davidson, NC 28036-7416 | 2009-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825285 | Samuel Kelse Hughes | Family Medicine | 104 Knox Ct, Suite 100, Davidson, NC 28036 | 2017-04-12 |
| 1023552098 | Melissa Marie Switek | Counselor | 706 Northeast Dr Ste 1, Davidson, NC 28036 | 2016-12-11 |
| 1386016020 | Morgan Rodgers | Counselor | 901 Northeast Drive, Suite 201, Davidson, NC 28036 | 2015-10-21 |
| 1578931333 | Renee Shull Johnson | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036 | 2015-09-10 |
| 1356748651 | Terri Ellerbe-graves | Counselor | 505 Park Avenue, Apt 2, Davidson, NC 28036 | 2014-12-02 |
| 1588085609 | Jay Alexander Caskey | Counselor | 16745 Davidson-concord Road, Davidson, NC 28036 | 2013-12-16 |
| 1932443181 | Jeannine Bodner | Social Worker | 120d S Village Ln, Davidson, NC 28036 | 2012-11-11 |
| 1295083921 | Kelley Cock | Counselor | 209 Delburg Street, Suite 103, Davidson, NC 28036 | 2012-08-28 |
| 1922371319 | Healing Tree Counseling and Wellness, Pllc | Counselor | 911 Northeast Drive, 301, Davidson, NC 28036 | 2012-02-15 |
| 1750678470 | Kimberly Makuch Leppert | Social Worker | 432 S. Main St, Suite 200, Davidson, NC 28036 | 2011-07-01 |
| Find all providers in zip 28036 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284574 | Shelia C King | Counselor | 709 Northeast Dr Ste 19, Davidson, NC 28036-7432 | 2017-06-12 |
| 1023552098 | Melissa Marie Switek | Counselor | 706 Northeast Dr Ste 1, Davidson, NC 28036 | 2016-12-11 |
| 1386016020 | Morgan Rodgers | Counselor | 901 Northeast Drive, Suite 201, Davidson, NC 28036 | 2015-10-21 |
| 1356748651 | Terri Ellerbe-graves | Counselor | 505 Park Avenue, Apt 2, Davidson, NC 28036 | 2014-12-02 |
| 1295083921 | Kelley Cock | Counselor | 209 Delburg Street, Suite 103, Davidson, NC 28036 | 2012-08-28 |
| 1447294061 | Shannon Alison Hartman-wilson | Counselor | 126 South Main Street, Suite 2b, Davidson, NC 28036 | 2006-06-15 |
| 1831589258 | Heather Vankoughnett | Counselor | 903 Northeast Dr, Suite 201, Davidson, NC 28036-7416 | 2015-01-24 |
| 1518363621 | Gillian Wilson | Counselor | 16740 Davidson Concord Rd, Ste 200, Davidson, NC 28036-8746 | 2014-11-17 |
| 1962710830 | Linda Cook Cason, Ma Lpc, P.C. | Counselor | 903 Northeast Dr, Suite 101, Davidson, NC 28036-7416 | 2010-09-14 |
| 1457663445 | Linda Cook Cason | Counselor | 903 Northeast Dr Ste 101, Davidson, NC 28036-7437 | 2010-07-08 |
| Find all providers in DAVIDSON | ||||
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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.