Bacon, Lisa Michelle
Bacon, Lisa Michelle is an sole proprietor health care provider with primary practice located at 710 Route 28 , Harwich Port MA 02646-1931. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bacon, Lisa Michelle can be contacted via phone (508) 237-0057.Contact Information
Primary practice address
710 Route 28
Harwich Port MA 02646-1931
Phone: (508) 237-0057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC3045 | Maryland |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 9682 | Massachusetts |
Profile Details
| NPI number | 1861629677 |
|---|---|
| LBN Legal business name | Bacon, Lisa Michelle |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2009 |
| Last updated | Feb 16th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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