Mangold, Lisa Ann

Mangold, Lisa Ann is an sole proprietor health care provider with primary practice located at 125 Muddy Toes Dr , Anderson SC 29626-5349. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mangold, Lisa Ann can be contacted via phone (864) 353-3384.

Contact Information

Primary practice address
125 Muddy Toes Dr Anderson SC 29626-5349
Fax: (864) 222-9715
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 67967 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5605 South Carolina

Profile Details

NPI number 1750716205
LBN Legal business name Mangold, Lisa Ann
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2013
Last updated Jan 8th, 2014 - about 12 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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