Boulay, Lisa

Boulay, Lisa is an sole proprietor health care provider with primary practice located at 18256 E Williams Field Rd , Gilbert AZ 85295-6801. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is her primary health care specialty. Boulay, Lisa can be contacted via phone (480) 356-4370.

Contact Information

Primary practice address
18256 E Williams Field Rd Gilbert AZ 85295-6801
Phone: (480) 356-4370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1538742044
LBN Legal business name Boulay, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2021
Last updated May 3rd, 2021 - about 3 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1538742044 NPPES
Arizona MEDICAID 091693

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