Elia, Lisa

Elia, Lisa is an individual health care provider with primary practice located at 12200 E 13 Mile Rd , Warren MI 48093-3093. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Elia, Lisa can be contacted via phone (814) 392-2248.

Contact Information

Primary practice address
12200 E 13 Mile Rd Warren MI 48093-3093
Phone: (814) 392-2248
Fax: (586) 353-0530
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401015067 Michigan

Profile Details

NPI number 1235525205
LBN Legal business name Elia, Lisa
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2015
Last updated Jul 21st, 2022 - about 4 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 1235525205 NPPES
Michigan MEDICAID 1235525205

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