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
Phone: (801) 255-5131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 8479511-6006 | Utah |
| Other Service Providers / Community Health Worker | 172V00000X |
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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528439387 | NPPES |
| Other | 1104119619 | MENTAL HEALTH INTERN |
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