MRS. LISA KIM CLEVELAND (NPI# 1902461098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902461098 |
| Entity Type | Individual |
| Full Name | MRS. LISA KIM CLEVELAND |
| Credential | LPC,CAADC, NCC |
| Practice Address |
123 N Westover Blvd Albany GA 31707-2949 |
| Mailing Address |
118 Red Oak Ave Albany GA 31721-6340 |
| Practice Telephone | 2298698193 |
| Mailing Telephone | 2298698193 |
| Enumeration Date | 2019-05-05 |
| Last Update Date | 2020-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
005668 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679845796 | Lisa Marie Cleveland | Occupational Therapist | 17462 N 94th St, 1099, Scottsdale, AZ 85255-6501 | 2012-02-05 |
| 1457675068 | Lisa Marie Cleveland | Nurse Practitioner | 618 Live Oak, San Antonio, TX 78202-1932 | 2010-03-25 |
| 1407480049 | Lisa Anne Cleveland | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-02-22 |
| 1801342530 | Lisa Cleveland | Nurse Practitioner | 1606 Prairie Center Pkwy, Suite 340, Brighton, CO 80601-4004 | 2016-09-01 |
| 1912158411 | Lisa Cleveland | Social Worker | 4600 47th Ave, Sacramento, CA 95824-3923 | 2008-10-02 |
| 1487653234 | Lisa M Cleveland | Physical Therapist | 3825 Edwards Rd, Suite 300, Cincinnati, OH 45209-1287 | 2005-07-14 |
| Street Address |
123 N WESTOVER BLVD |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659937142 | Karen Marie | Counselor | 2225 Pacific Blvd Se Ste 211, Albany, OR 97321-7904 | 2019-05-10 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1871070912 | Nashiya Hodge | Counselor | 1907 Stuart Ave, Albany, GA 31707-1705 | 2018-07-21 |
| 1578096525 | Breakthrough Psychotherapeutic Solutions, LLC | Counselor | 323 Pine Ave Ste 204, Albany, GA 31701-2587 | 2017-04-06 |
| 1578094611 | Frank Moore Jr. | Counselor | 2529 Hill St Se, Albany, OR 97322-4266 | 2017-03-21 |
| 1366990418 | Cameron Walker Sr. | Counselor | 1600 Devon Dr, Albany, GA 31721-7117 | 2016-09-19 |
| 1972978740 | Queen E Hall | Counselor | 1809 Dorchester Dr, Albany, GA 31721-2971 | 2015-12-04 |
| 1215320049 | Catharine Varn Field | Counselor | 2402 Dawson Rd Ste 4, Albany, GA 31707-2380 | 2015-03-18 |
| 1063820967 | Kenneth Tyrone Walker | Counselor | 127 Autumn Leaf Dr, Albany, GA 31701-4799 | 2014-07-24 |
| 1073920740 | Angela Douglas | Counselor | N5735 Frances Cir, Albany, WI 53502-9339 | 2014-07-15 |
| Find all providers in ALBANY | ||||
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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.