Spears, Lisa

Spears, Lisa is an sole proprietor health care provider with primary practice located at 231 S 10Th St Ste B , Griffin GA 30224-2835. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Spears, Lisa can be contacted via phone (770) 233-2809.

Contact Information

Primary practice address
231 S 10Th St Ste B Griffin GA 30224-2835
Phone: (770) 233-2809
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC004982 Georgia

Profile Details

NPI number 1275725079
LBN Legal business name Spears, Lisa
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2007
Last updated Aug 15th, 2007 - about 18 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 1275725079 NPPES
Georgia Other LPC004982 STATE OF GEORGIA

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