Maldonado, Lisa Dawn

Maldonado, Lisa Dawn is an sole proprietor health care provider with primary practice located at 2620 Perkins Creek Dr. , Paducah KY 42001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Maldonado, Lisa Dawn can be contacted via phone (270) 444-8465.

Contact Information

Primary practice address
2620 Perkins Creek Dr. Paducah KY 42001
Phone: (270) 444-8465
Fax: (618) 997-8214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.014874 Illinois
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1700949047
LBN Legal business name Maldonado, Lisa Dawn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Mar 15th, 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.

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