LISA MARIE SHEPARD NPI 1811628761

NPI Information

NPI: 1811628761
Provider Name: LISA MARIE SHEPARD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1290 KENNESTONE CIR
MARIETTA, GA
ZIP 30066
Phone: (770) 842-9643
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Lisa Marie Shepard is a professional counselor in Marietta, GA. Lisa Marie Shepard NPI is 1811628761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1290 KENNESTONE CIR
MARIETTA, GA
ZIP 30066-009
Phone: (770) 842-9643

The enumeration date for this NPI number is 6/21/2022 and was last updated on 6/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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