Lisa Mustillo Psychotherapy
LBN: Lisa Mustillo Psychotherapy
Lisa Mustillo Psychotherapy is an health care organization with primary practice located at 1301 Shiloh Rd Nw Ste 860 , Kennesaw GA 30144-7174. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Lisa Mustillo Psychotherapy can be contacted via phone (917) 992-7896, or through Mustillo, Lisa via phone (917) 992-7896.
Contact Information
Primary practice address
1301 Shiloh Rd Nw Ste 860
Kennesaw GA 30144-7174
Phone: (917) 992-7896
Fax:
Website:
Authorized official contact:
Name: Mustillo, Lisa Licensed Clinical Social Worker (LCSW)
Phone: (917) 992-7896
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1275277782 |
|---|---|
| LBN Legal business name | Lisa Mustillo Psychotherapy |
| DBA Doing business as | |
| Authorized official | Mustillo, Lisa Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 21st, 2022 |
| Last updated | Aug 9th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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