Ellis, Lisa

Ellis, Lisa is an individual health care provider with primary practice located at 107 Paterson Ave , Hasbrouck Heights NJ 07604-1414. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Ellis, Lisa can be contacted via phone (551) 900-1496.

Contact Information

Primary practice address
107 Paterson Ave Hasbrouck Heights NJ 07604-1414
Phone: (551) 900-1496
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00786200 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00236900 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37AC00328500 New Jersey

Profile Details

NPI number 1750948683
LBN Legal business name Ellis, Lisa
Credentials LPC, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2019
Last updated Oct 18th, 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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