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: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Professional

About LISA SHEPARD

This page provides the complete NPI Profile along with additional information for Lisa Shepard, a provider established in Marietta, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1811628761 assigned on June 2022. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1811628761 Verify this NPI
Provider Name
LISA MARIE SHEPARD
Gender
Female
Entity Type
Individual
Location Address
1290 KENNESTONE CIR MARIETTA, GA 30066
Location Phone
(770) 842-9643
Mailing Address
1290 KENNESTONE CIR MARIETTA, GA 30066
Is Sole Proprietor?
No
Enumeration Date
06-21-2022
Last Update Date
06-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Home Health
1290 KENNESTONE CIR, BUILDING D, SUITE 205
MARIETTA, GA 30066
Clinical Medical Laboratory
1290 KENNESTONE CIR, SUITE A-112
MARIETTA, GA 30066
Clinic/Center (Rehabilitation, Substance Use Disorder)
1290 KENNESTONE CIR, SUITE102
MARIETTA, GA 30066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811628761, enumerated as an "individual" on June 21, 2022.

The provider is located at 1290 KENNESTONE CIR MARIETTA, GA 30066 and the phone number is (770) 842-9643.

Counselor with taxonomy code 101YP2500X and a focus in Professional.