Moreland, Lisa

Moreland, Lisa is an individual health care provider with primary practice located at 1791 22Nd St , Rice Lake WI 54868-8723. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Moreland, Lisa can be contacted via phone (715) 719-0122.

Contact Information

Primary practice address
1791 22Nd St Rice Lake WI 54868-8723
Phone: (715) 719-0122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2728-125 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 566-124 Wisconsin

Profile Details

NPI number 1407061468
LBN Legal business name Moreland, Lisa
Credentials MS, LMFT, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2007
Last updated May 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407061468 NPPES
Wisconsin MEDICAID 39760500

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