Healthcare Provider Details

I. General information

NPI: 1124646807
Provider Name (Legal Business Name): JAMES FRANCIS LAPOINT LISW, LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 07/09/2020
Certification Date: 07/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 N CALLE MANZANITA #5091
ORACLE AZ
85623-5091
US

IV. Provider business mailing address

PO BOX 5091
ORACLE AZ
85623-5091
US

V. Phone/Fax

Practice location:
  • Phone: 520-705-8517
  • Fax:
Mailing address:
  • Phone: 520-705-8517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberI.0007828
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: