Schmidt, Lisa R

Schmidt, Lisa R is an sole proprietor health care provider with primary practice located at 9375 E Shea Blvd Ste 100 , Scottsdale AZ 85260-6986. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Dietary & Nutritional Service Providers / Nutrition, Education. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Schmidt, Lisa R can be contacted via phone (480) 675-4568.

Contact Information

Primary practice address
9375 E Shea Blvd Ste 100 Scottsdale AZ 85260-6986
Phone: (480) 675-4568
Fax: (480) 907-1963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 20358 Arizona
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0199991212 Arizona

Profile Details

NPI number 1871932012
LBN Legal business name Schmidt, Lisa R
Credentials MS, LPC, CN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2013
Last updated Dec 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871932012 NPPES
Arizona Other 20358 STATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH LICENSE LPC
Arizona Other NU60495044 STATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH LICENSE LPC

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