Meredith, Lisa

Meredith, Lisa is an individual health care provider with primary practice located at 1303 Lynn Ln , Idabel OK 74745-6845. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Meredith, Lisa can be contacted via phone (580) 286-7025.

Contact Information

Primary practice address
1303 Lynn Ln Idabel OK 74745-6845
Phone: (580) 286-7025
Fax: (580) 286-7436
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1790999894
LBN Legal business name Meredith, Lisa
Credentials MBS, LPC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Oct 4th, 2012 - about 13 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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