Lisa Gay Shockley in Clearwater - Community/behavioral Health
Lisa Gay Shockley - NPI 1679745582
Lisa Gay Shockley is a Community/behavioral Health in Clearwater, Florida. Lisa Gay Shockley practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Lisa Gay Shockley is 1679745582. The last update date is 2016-11-13.
Lisa Gay Shockley's current location address is 2915 Lichen Ln, Clearwater, Florida. You can contact this provider via phone number 7275317170. The mailing address for Lisa Gay Shockley is 2915 Lichen Ln, Clearwater, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Gay Shockley |
|---|---|
| Address | 2915 Lichen Ln, Clearwater, Florida |
| Phone Number | 7275317170 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | R.N., MSN |
NPI Number Detail
| NPI Number | 1679745582 |
|---|---|
| Provider Enumeration Date | 2008-03-31 |
| Last Updated Date | 2016-11-13 |
Provider Mailing Address Detail
| Address | 2915 Lichen Ln |
|---|---|
| City | Clearwater |
| State | Florida (FL) |
| Post Code | 337604522 |
| Phone Number | 7275317170 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identifier code issued to Lisa Gay Shockley by the Centers for Medicare & Medicaid Services?
The Lisa Gay Shockley has been assigned the NPI (National Provider Identifier) 1679745582 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lisa Gay Shockley?
The Lisa Gay Shockley is situated at 2915 Lichen Ln, in the city of Clearwater, state of FL, with the zip code 337604522.
What is Lisa Gay Shockley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa Gay Shockley's specialized field of practice is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of specialization is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679745582 to Lisa Gay Shockley?
The Centers for Medicare & Medicaid Services assigned the 1679745582 to Lisa Gay Shockley on 2008-03-31.
When was the information regarding Lisa Gay Shockley most recently updated?
The details pertaining to the Lisa Gay Shockley, including its address, specialty, and other relevant information, were last refreshed on 2016-11-13.