LIESA PAVOGGI (NPI# 1851756951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851756951 |
| Entity Type | Individual |
| Full Name | LIESA PAVOGGI |
| Practice Address |
265 Acorn Ln Killeen TX 76542-5001 |
| Practice Telephone | 2547816288 |
| Mailing Telephone | 2547816288 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 71045 | TX | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12300 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | UNITED STATES ARMY | 1487913711 | 01 |
| Street Address |
265 ACORN LN |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1275034597 | Killeen Modern Dentistry, PC | Dentist | 507 W Stan Schlueter Loop, Suite 104, Killeen, TX 76542 | 2018-02-22 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| Find all providers in zip 76542 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497229900 | Dudley Locke | Counselor | 3708 Valley Forge Dr, Killeen, TX 76543-4962 | 2019-01-17 |
| 1134602527 | Kenyatta Peoples | Counselor | 201 Orchid Dr, Killeen, TX 76542-1852 | 2018-09-11 |
| 1306366539 | Arthur Joseph Murphy II | Counselor | 3306 Lake Belton Ave, Killeen, TX 76543-3719 | 2017-06-20 |
| 1831554146 | Brandon Waters | Counselor | 3702 Ozark Dr, Killeen, TX 76549-6645 | 2015-12-31 |
| 1699173963 | Roslyn A Brown | Counselor | 1711 E Central Texas Expy Ste 201-a1, Killeen, TX 76541-9166 | 2014-12-18 |
| 1912349101 | Gary Sosbee LLC | Counselor | 1010 W Jasper Dr Ste 4, Killeen, TX 76542-1328 | 2013-07-29 |
| 1053696708 | Heidi Noyer | Counselor | 1705 S Fort Hood St, Suite 103 B, Killeen, TX 76542-1680 | 2011-10-13 |
| 1952600181 | Gregory Jerome Primas | Counselor | 3803 Sunny Beach Ct, Killeen, TX 76549-4406 | 2011-03-28 |
| 1174628929 | Emory James Crawford | Counselor | 2108 Pinckney Ct Apt A, Killeen, TX 76542-6069 | 2006-09-14 |
| 1922617315 | Vivian Lee Dennison | Counselor | 3300 E Central Texas Expy, Killeen, TX 76543-5673 | 2020-07-30 |
| Find all providers in KILLEEN | ||||
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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.