Healthcare Provider Details

I. General information

NPI: 1821907437
Provider Name (Legal Business Name): LISA BILLET LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2811 W DEER VALLEY RD APT 1064
PHOENIX AZ
85027-2379
US

IV. Provider business mailing address

2811 W DEER VALLEY RD APT 1064
PHOENIX AZ
85027-2379
US

V. Phone/Fax

Practice location:
  • Phone: 623-692-8862
  • Fax:
Mailing address:
  • Phone: 623-692-8862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLMSW-22109
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: