Sullivan, Lisa

Sullivan, Lisa is an individual health care provider with primary practice located at 166 E Chestnut St , Asheville NC 28801-2337. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sullivan, Lisa can be contacted via phone (828) 215-8858.

Contact Information

Primary practice address
166 E Chestnut St Asheville NC 28801-2337
Phone: (828) 215-8858
Fax: (828) 665-0763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4033 North Carolina

Profile Details

NPI number 1700839503
LBN Legal business name Sullivan, Lisa
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Nov 3rd, 2010 - about 15 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 1700839503 NPPES
North Carolina MEDICAID 6102398

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