Congdon, Lisa Michelle

Congdon, Lisa Michelle is an sole proprietor health care provider with primary practice located at 1381 S Patrick Dr , Patrick Afb FL 32925-3606. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Congdon, Lisa Michelle can be contacted via phone (321) 494-8241.

Contact Information

Primary practice address
1381 S Patrick Dr Patrick Afb FL 32925-3606
Phone: (321) 494-8241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW60580401 Washington

Profile Details

NPI number 1730684820
LBN Legal business name Congdon, Lisa Michelle
Credentials LICSW, MVF-CSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2018
Last updated May 22nd, 2020 - about 6 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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