MRS. LISA D BURNER (NPI# 1750472841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750472841 |
| Entity Type | Individual |
| Full Name | MRS. LISA D BURNER |
| Credential | LCSW CAP |
| Practice Address |
259 Oakdale Ave East Crestview FL 32536 |
| Mailing Address |
396 Garden St Crestview FL 32536-1734 |
| Practice Telephone | 8506821234 |
| Mailing Telephone | 8503986173 |
| Mailing Fax Number | 8503986199 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-04-27 |
| 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) |
2871 | FL | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW 6803 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 766762100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 307 Boatner Rd Ste 114, Eglin Afb, FL 325421302 | 8508838616 | 8508338330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174941058 | Lisa Burner | Counselor | 1600 S Main St, Lebanon, OR 97355-3109 | 2014-03-28 |
| Street Address |
259 OAKDALE AVE EAST |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684901 | Eva Maria I Matute | Adult Companion | 6050 Trestle St, Crestview, FL 32536 | 2018-06-29 |
| 1669989232 | Lauren Estep Flowers | Physician Assistant | 550 Redstone Ave W Ste 370, Crestview, FL 32536 | 2018-01-04 |
| 1427444868 | Jessie Huisken | Social Worker | 5890 Saratoga Dr, Crestview, FL 32536 | 2015-04-13 |
| 1679846166 | John D. Carlson Md | Specialist | 492 North Wilson Street, Crestview, FL 32536 | 2012-02-15 |
| 1154609691 | Alternative Living, Inc. | Assisted Living Facility | 603 North Pearl Street, Crestview, FL 32536 | 2011-08-02 |
| 1487821526 | Michael G Foley Md Pa | Internal Medicine | 524 James Lee Blvd W, Crestview, FL 32536 | 2008-05-08 |
| 1184805830 | Advanced Family Medicine Clinic Inc | Family Medicine | 327 Medcrest Drive, Unit A, Crestview, FL 32536 | 2007-11-23 |
| 1164631511 | Caring Hearts Pediatric Extended Care Center, Inc | Clinic/Center | 380 Medcrest Dr, Crestview, FL 32536 | 2007-05-22 |
| 1669697751 | Crestview Chiropractic Clinic, Inc. | Chiropractor | 1078 S. Ferdon Boulevard, Suite A, Crestview, FL 32536 | 2007-04-16 |
| 1457492886 | Roy M Nakaiye | Dentist | 222 Cedar Ave, Crestview, FL 32536 | 2007-02-09 |
| Find all providers in zip 32536 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265072326 | Ryan Bullard | Counselor | 698 S Wilson St, Crestview, FL 32536-4156 | 2020-01-07 |
| 1114063187 | Misti D Anderson | Counselor | 502 N. Ferdon Blvd., B, Crestview, FL 32536 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554783 | Lee Sloan | Counselor | 2929 Sw 22nd Cir # 32b, Delray Beach, FL 33445-7890 | 2020-10-08 |
| 1982201133 | Agape Network, Inc. | Counselor | 17801 Nw 2nd Ave Ste 212, Miami Gardens, FL 33169-5029 | 2020-10-01 |
| 1558978734 | Ashley Bayliss | Counselor | Legacy Healing Center Margate, 2960 N State Road 7 Ste 102, Margate, FL 33063 | 2020-09-30 |
| 1063029916 | Brandon L Argent | Counselor | 6443 Churchill Cir, Milton, FL 32583-4012 | 2020-09-24 |
| 1265048797 | Victoria Payne | Counselor | 7848 Playpen Ct, Jacksonville, FL 32210-1420 | 2020-09-21 |
| 1659983609 | Mindful Ways To Wellness | Counselor | 735 Arlington Ave N Ste 209, St Petersburg, FL 33701-3653 | 2020-08-20 |
| 1699386326 | James Michael Hoy | Counselor | 1389 Hibiscus St, Clearwater, FL 33755-3406 | 2020-08-14 |
| 1134739337 | Lidia Alejandra Martinez | Counselor | 17250 Sw 192nd St, Miami, FL 33187-5101 | 2020-08-03 |
| 1003425919 | Austin Lee Williams | Counselor | 1398 Sw 160th, Sunrise, FL 33326 | 2020-07-27 |
| 1891303327 | Dara Maddox | Counselor | 1506 Seabreeze Ln, Melbourne, FL 32935-2030 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. LISA D BURNER.
| 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.