Healthcare Provider Details

I. General information

NPI: 1427866045
Provider Name (Legal Business Name): LISA LOUISE DESGROSELLIER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2024
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 14587
SPOKANE VALLEY WA
99214-0587
US

IV. Provider business mailing address

PO BOX 14587
SPOKANE VALLEY WA
99214-0587
US

V. Phone/Fax

Practice location:
  • Phone: 509-251-3840
  • Fax:
Mailing address:
  • Phone: 509-251-3840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00002747
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: