Lisath, Alexus Nicole

Lisath, Alexus Nicole is an sole proprietor health care provider with primary practice located at 303 Gervais Rd , Franklin Furnace OH 45629-8742. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Peer Specialist is her primary health care specialty. Lisath, Alexus Nicole can be contacted via phone (740) 259-7000.

Contact Information

Primary practice address
303 Gervais Rd Franklin Furnace OH 45629-8742
Phone: (740) 259-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 176336 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X 176336 Ohio

Profile Details

NPI number 1336730696
LBN Legal business name Lisath, Alexus Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2021
Last updated Apr 2nd, 2021 - about 3 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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