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LISA MARIE SHEPARD
NPI 1811628761
Counselor - Professional in Marietta, GA

Active since June 21, 2022
1290 KENNESTONE CIR, MARIETTA, GA 30066(770) 842-9643 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Marie Shepard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MARIE SHEPARD (NPI 1811628761) is an individual professional provider in Marietta, Georgia and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1811628761
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA MARIE SHEPARD
Location Address1290 KENNESTONE CIRMarietta, GA 30066-6009
Mailing Address1290 Kennestone CirMarietta, GA 30066-6009
Phone(770) 842-9643
Sole ProprietorNo
Enumeration DateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1811628761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1290 KENNESTONE CIR, Marietta, GA 30066
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAINT ANDREWS OUTPATIENT SERVICES, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1290 KENNESTONE CIR, SUITE102
MARIETTA, GA 30066
Cobb County (404) 237-5519
ALPHA LAB SERVICES, LLC
Clinical Medical Laboratory
1290 KENNESTONE CIR, SUITE A-112
MARIETTA, GA 30066
Cobb County (818) 212-4659
GEORGIA HEALTHCARE SOLUTIONS, LLC.
Home Health
1290 KENNESTONE CIR, BUILDING D, SUITE 205
MARIETTA, GA 30066
Cobb County (678) 290-7827

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Shepard's NPI number?

The NPI number for Lisa Shepard is 1811628761. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Lisa Shepard located?

Lisa Shepard practices at 1290 Kennestone Cir, Marietta, GA 30066. The listed phone number is (770) 842-9643.

What is Lisa Shepard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Lisa Shepard was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.