Taylor, Lisa

Taylor, Lisa is an sole proprietor health care provider with primary practice located at 4213 Walney Rd , Chantilly VA 20151-2923. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Taylor, Lisa can be contacted via phone (703) 502-7016.

Contact Information

Primary practice address
4213 Walney Rd Chantilly VA 20151-2923
Phone: (703) 502-7016
Fax: (703) 502-7006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710000340 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904010207 Virginia

Profile Details

NPI number 1073010690
LBN Legal business name Taylor, Lisa
Credentials LCSW, CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2018
Last updated Apr 10th, 2018 - about 7 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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