Healthcare Provider Details

I. General information

NPI: 1790551786
Provider Name (Legal Business Name): LISA GEISER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34975 N NORTH VALLEY PKWY STE 152L
PHOENIX AZ
85086-4032
US

IV. Provider business mailing address

34975 N NORTH VALLEY PKWY STE 152L
PHOENIX AZ
85086-4032
US

V. Phone/Fax

Practice location:
  • Phone: 623-278-7379
  • Fax: 623-666-6548
Mailing address:
  • Phone: 623-278-7379
  • Fax: 623-666-6548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-24445
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: