Fadorsen, Lisa

Fadorsen, Lisa is an sole proprietor health care provider with primary practice located at 2020 26Th Ave E , Bradenton FL 34208-7753. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Fadorsen, Lisa can be contacted via phone (941) 782-4600.

Contact Information

Primary practice address
2020 26Th Ave E Bradenton FL 34208-7753
Phone: (941) 782-4600
Fax: (941) 782-4601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E1200017 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X PMH1252 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 1198 Mississippi
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH15099 Florida

Profile Details

NPI number 1275903288
LBN Legal business name Fadorsen, Lisa
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2015
Last updated Mar 16th, 2018 - about 6 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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