Henderson, Lisa

Henderson, Lisa is an sole proprietor health care provider with primary practice located at 35 Skyline Dr , Brigham City UT 84302-6772. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Henderson, Lisa can be contacted via phone (801) 255-5131.

Contact Information

Primary practice address
35 Skyline Dr Brigham City UT 84302-6772
Fax:
Website:

Health care specialties

Profile Details

NPI number 1528439387
LBN Legal business name Henderson, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2015
Last updated May 18th, 2023 - about last year

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 1528439387 NPPES
Other 1104119619 MENTAL HEALTH INTERN

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