Korslin, Lisa Rae
Korslin, Lisa Rae is an individual health care provider with primary practice located at 5509 Ghost Rider Ct , Las Vegas NV 89131-2064. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Korslin, Lisa Rae can be contacted via phone (920) 242-8586.Contact Information
Primary practice address
5509 Ghost Rider Ct
Las Vegas NV 89131-2064
Phone: (920) 242-8586
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 15337 | Wisconsin |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1303123 | Wisconsin |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9199-C | Nevada |
Profile Details
NPI number | 1265606123 |
---|---|
LBN Legal business name | Korslin, Lisa Rae |
Credentials | MSW & LCSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2008 |
Last updated | Jun 7th, 2024 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265606123 | NPPES |
Nevada | MEDICAID | 9199-C |
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