Healthcare Provider Details

I. General information

NPI: 1033440771
Provider Name (Legal Business Name): LISA CASEY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2010
Last Update Date: 01/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 WINTER ST
NATICK MA
01760-1015
US

IV. Provider business mailing address

27 WINTER ST
NATICK MA
01760-1015
US

V. Phone/Fax

Practice location:
  • Phone: 508-655-6400
  • Fax: 508-647-1839
Mailing address:
  • Phone: 508-655-6400
  • Fax: 508-647-1839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6193
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: