Kostansek, Lisa Ann

Kostansek, Lisa Ann is an individual health care provider with primary practice located at 8445 Munson Rd , Mentor OH 44060-2410. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kostansek, Lisa Ann can be contacted via phone (440) 255-1700.

Contact Information

Primary practice address
8445 Munson Rd Mentor OH 44060-2410
Phone: (440) 255-1700
Fax: (440) 205-2417
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 050505 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E0003136 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E003136 Ohio

Profile Details

NPI number 1265569479
LBN Legal business name Kostansek, Lisa Ann
Credentials PCC-S, LCDC III
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Aug 6th, 2008 - about 16 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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