Taft, Lisa Anne
Taft, Lisa Anne is an individual health care provider with primary practice located at 10775 Pioneer Trl Ste 215 , Truckee CA 96161-0234. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Taft, Lisa Anne can be contacted via phone (415) 424-4266.Contact Information
Primary practice address
10775 Pioneer Trl Ste 215
Truckee CA 96161-0234
Phone: (415) 424-4266
Fax: (415) 520-6633
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 94516 | Texas |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH60407023 | Washington |
Profile Details
NPI number | 1003114307 |
---|---|
LBN Legal business name | Taft, Lisa Anne |
Credentials | MSW, LMHC, LPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 10th, 2011 |
Last updated | Mar 4th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003114307 | NPPES |
Washington | MEDICAID | 2255220 |
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