Dorland, Lisa Renee

Dorland, Lisa Renee is an individual health care provider with primary practice located at 130 1St St Nw , Massillon OH 44647. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dorland, Lisa Renee can be contacted via phone (330) 833-0234.

Contact Information

Primary practice address
130 1St St Nw Massillon OH 44647
Phone: (330) 833-0234
Fax: (330) 837-7705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.0018185 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.0002909 Ohio

Profile Details

NPI number 1811148463
LBN Legal business name Dorland, Lisa Renee
Credentials LPCC-S, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2008
Last updated Aug 1st, 2018 - about 7 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 1811148463 NPPES
Ohio MEDICAID 0242555

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