Wyly, Lisa Lanelle

Wyly, Lisa Lanelle is an sole proprietor health care provider with primary practice located at 6412 Laurel Ave , Lake Isabella CA 93240-9529. 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. Wyly, Lisa Lanelle can be contacted via phone (760) 417-1932.

Contact Information

Primary practice address
6412 Laurel Ave Lake Isabella CA 93240-9529
Phone: (760) 417-1932
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C8528805 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW98599 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS115572 California

Profile Details

NPI number 1770610040
LBN Legal business name Wyly, Lisa Lanelle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Apr 18th, 2025 - about last year

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.

Request for update

Popular Providers