Charles, Lisa A

Charles, Lisa A is an sole proprietor health care provider with primary practice located at 4613 Valley Crest Dr #301, Midlothian VA 23112. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Charles, Lisa A can be contacted via phone (804) 447-8049.

Contact Information

Primary practice address
4613 Valley Crest Dr #301 Midlothian VA 23112
Phone: (804) 447-8049
Fax: (804) 447-8049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PPS-0601360 Virginia
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1346482577
LBN Legal business name Charles, Lisa A
Credentials M.S.ED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2009
Last updated Jun 4th, 2018 - about 8 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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