Allen, Lisa F
Allen, Lisa F is an individual health care provider with primary practice located at 5225 Telegraph Rd , Ventura CA 93003-4113. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Allen, Lisa F can be contacted via phone (805) 765-6495.Contact Information
Primary practice address
5225 Telegraph Rd
Ventura CA 93003-4113
Phone: (805) 765-6495
Fax: (805) 765-6490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY15636 | California |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1093746273 |
|---|---|
| LBN Legal business name | Allen, Lisa F |
| Credentials | AOD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Oct 1st, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093746273 | NPPES |
| California | MEDICAID | 1598786352 | |
| California | MEDICAID | 1356344758 | |
| California | MEDICAID | 1528072386 | |
| California | Other | 237310613 |
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