Faires, Lisa A

Faires, Lisa A is an sole proprietor health care provider with primary practice located at 1380 Phyllis Dr , Merritt Island FL 32952-5841. 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. Faires, Lisa A can be contacted via phone (207) 233-1350.

Contact Information

Primary practice address
1380 Phyllis Dr Merritt Island FL 32952-5841
Phone: (207) 233-1350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC3775 Maine
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 13040 Florida

Profile Details

NPI number 1891022919
LBN Legal business name Faires, Lisa A
Credentials M.ED. LCPC,LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2009
Last updated Feb 27th, 2015 - about 9 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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