Roberts, Lisa

Roberts, Lisa is an individual health care provider with primary practice located at 55 John A Cummings Way , Woonsocket RI 02895-3247. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Roberts, Lisa can be contacted via phone (401) 235-7000.

Contact Information

Primary practice address
55 John A Cummings Way Woonsocket RI 02895-3247
Phone: (401) 235-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X PC396 Rhode Island
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDP00537 Rhode Island

Profile Details

NPI number 1356437396
LBN Legal business name Roberts, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Oct 30th, 2012 - about 12 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 1356437396 NPPES
Rhode Island MEDICAID LR56123

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