Smith, Lisa

Smith, Lisa is an sole proprietor health care provider with primary practice located at 4100 Franklin Blvd , Cleveland OH 44113-2842. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Other Service Providers / Prevention Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Smith, Lisa can be contacted via phone (216) 623-0959.

Contact Information

Primary practice address
4100 Franklin Blvd Cleveland OH 44113-2842
Phone: (216) 623-0959
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C.2003026 Ohio
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Other Service Providers / Prevention Professional 405300000X OCPC.1222 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 111024 Ohio

Profile Details

NPI number 1255710570
LBN Legal business name Smith, Lisa
Credentials LICDC, SAP, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2015
Last updated Nov 23rd, 2020 - about 6 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 1255710570 NPPES
Ohio MEDICAID 0206488

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