COLEEN LIVELY (NPI# 1902429798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902429798 |
| Entity Type | Individual |
| Full Name | COLEEN LIVELY |
| Credential | MA |
| Practice Address |
2107 Liberty St Chesapeake VA 23324-3527 |
| Practice Telephone | 7574947600 |
| Mailing Telephone | 7574947600 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
0813001068 | VA | Behavioral Health & Social Service Providers |
| Street Address |
2107 LIBERTY ST |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23324-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346742988 | John William Faircloth | Speech-Language Pathologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2018-02-28 |
| 1730787243 | Brianna Lyons | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-10-16 |
| 1043837198 | Romeo Linaes Mosley Jr. | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-07-06 |
| 1124645205 | Tawana Burnett Fortune | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-07-06 |
| 1518581818 | Tia Davis | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-06-02 |
| 1114549995 | Bailey Rector | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-05-14 |
| 1205456712 | Erin Marie Boger | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-04-24 |
| 1811517683 | Tara Zamora | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-04-22 |
| 1124648100 | Diana Leigh Lundquist | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-04-20 |
| 1366062481 | Susan Storberg | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779588 | Cynthia Dupree | Counselor | 1145 Commerce Ave, Chesapeake, VA 23324 | 2020-01-14 |
| 1699263780 | Barbara Ann Schweiger | Speech-Language Pathologist | 2601 Broad Street, Chesapeake, VA 23324 | 2018-04-25 |
| 1346738531 | Deanne Melworth Lindsey | Speech-Language Pathologist | 2107 Liberty Street, Chesapeake, VA 23324 | 2018-04-24 |
| 1265801104 | Vamedicabi,llc | Non-emergency Medical Transport (VAN) | 3404 Bainbridge Blvd, Chesapeake, VA 23324 | 2015-09-22 |
| 1225358781 | Madelyn Ortiz Brito | Psychologist | 2710 Ike St Trlr 22, Chesapeake, VA 23324 | 2010-06-08 |
| 1427385780 | Ivyrehab Sept, LLC | Physical Therapist | 801 Poindexter Street, Suite 219, Chesapeake, VA 23324 | 2009-11-06 |
| 1225102510 | Rodolfo Cejas Rosas | Internal Medicine | 2709 Campostilla Rd, Ste E, Chesapeake, VA 23324 | 2006-11-20 |
| 1043381759 | Chesapeake City Public Schools | Local Education Agency (LEA) | 2107 E. Liberty St, Chesapeake, VA 23324 | 2006-11-13 |
| 1679668941 | Lisa Cordero | Nurse Practitioner | 490 Liberty Street, Chesapeake, VA 23324 | 2006-10-04 |
| 1437259801 | Robert James Mealy IIi | Dentist | 2737 Campostella Rd, Chesapeake, VA 23324 | 2006-09-25 |
| Find all providers in zip 23324 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790289973 | Edwin Samuel Mccrickard Jr. | Psychologist | 1613 Hawthorne Dr, Chesapeake, VA 23325-3847 | 2018-03-21 |
| 1730787243 | Brianna Lyons | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-10-16 |
| 1043837198 | Romeo Linaes Mosley Jr. | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-07-06 |
| 1124645205 | Tawana Burnett Fortune | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-07-06 |
| 1518581818 | Tia Davis | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-06-02 |
| 1114549995 | Bailey Rector | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-05-14 |
| 1205456712 | Erin Marie Boger | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-04-24 |
| 1811517683 | Tara Zamora | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-04-22 |
| 1124648100 | Diana Leigh Lundquist | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-04-20 |
| 1366062481 | Susan Storberg | Psychologist | 2107 Liberty St, Chesapeake, VA 23324-3527 | 2020-04-18 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23324 |
Please comment or provide details below to improve the information on COLEEN LIVELY.
| 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.