LISA MARIE BROLLINI (NPI# 1770842403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770842403 |
| Entity Type | Individual |
| Full Name | LISA MARIE BROLLINI |
| Practice Address |
1475 N Wilmot Rd Apt 57 Tucson AZ 85712-4455 |
| Mailing Address |
994 S Harrison Rd Tucson AZ 85748-6608 |
| Practice Telephone | 5209038857 |
| Mailing Telephone | 5207211887 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT 10143 | AZ | Behavioral Health & Social Service Providers |
| N | 171W00000X | Contractor | Other Service Providers |
| Street Address |
1475 N WILMOT RD APT 57 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-4455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169286 | Sophia L Sims | Marriage & Family Therapist | 4210 N Saranac Dr, Tucson, AZ 85718-6731 | 2020-03-21 |
| 1871155333 | Kimberly Ahmadi | Marriage & Family Therapist | 6805 E Camino Principal, Tucson, AZ 85715-3906 | 2019-07-05 |
| 1205353083 | Affinity Counseling Center LLC | Marriage & Family Therapist | 2292 W Magee Rd Ste 260, Tucson, AZ 85742-4304 | 2017-08-23 |
| 1275902199 | Sarah Elizabeth Mcmillan | Marriage & Family Therapist | 4712 N Paseo Tubutama, Tucson, AZ 85750-1727 | 2015-09-22 |
| 1801287784 | Amy Hawthorne | Marriage & Family Therapist | 2726 E Blacklidge Dr, Tucson, AZ 85716-1836 | 2015-02-12 |
| 1356617799 | Rhonda Denise Porro | Marriage & Family Therapist | 7445 N Oracle Rd, Suite 155, Tucson, AZ 85704-6393 | 2012-03-29 |
| 1295012474 | Jordan Marks | Marriage & Family Therapist | 2209 E 3rd St, Tucson, AZ 85719-5108 | 2011-11-15 |
| 1235428459 | Jessica Anna Shaw | Marriage & Family Therapist | 6420 E Broadway Blvd Ste B200, Tucson, AZ 85710-3514 | 2011-03-29 |
| 1427368125 | Jennifer Lynn Vanhoesen | Marriage & Family Therapist | 3861 E 3rd Street, Tucson, AZ 85716 | 2010-10-15 |
| 1396053658 | Frances Almstrom | Marriage & Family Therapist | 819 W Calle Retama, Suite 120, Tucson, AZ 85705-6426 | 2010-09-21 |
| 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.