Edmond, Lisa Anthonette

Edmond, Lisa Anthonette is an sole proprietor health care provider with primary practice located at 1758 Waverley Oaks Drive , Kernersville NC 27284-2367. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Edmond, Lisa Anthonette can be contacted via phone (133) 699-5268.

Contact Information

Primary practice address
1758 Waverley Oaks Drive Kernersville NC 27284-2367
Phone: (133) 699-5268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P011246 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904014185 Virginia

Profile Details

NPI number 1235644410
LBN Legal business name Edmond, Lisa Anthonette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2017
Last updated Aug 10th, 2022 - about 2 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.

Request for update

Popular Providers