Roberts, Lisa
Roberts, Lisa is an individual health care provider with primary practice located at 55 John A Cummings Way , Woonsocket RI 02895-3247. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Roberts, Lisa can be contacted via phone (401) 235-7000.Contact Information
Primary practice address
55 John A Cummings Way
Woonsocket RI 02895-3247
Phone: (401) 235-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | PC396 | Rhode Island |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDP00537 | Rhode Island |
Profile Details
| NPI number | 1356437396 |
|---|---|
| LBN Legal business name | Roberts, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Oct 30th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356437396 | NPPES |
| Rhode Island | MEDICAID | LR56123 |
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