Healthcare Provider Details

I. General information

NPI: 1386586824
Provider Name (Legal Business Name): LMBHSA CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 N 4TH AVE
STURGEON BAY WI
54235-2405
US

IV. Provider business mailing address

217 N 4TH AVE
STURGEON BAY WI
54235-2405
US

V. Phone/Fax

Practice location:
  • Phone: 920-591-6877
  • Fax:
Mailing address:
  • Phone: 920-591-6877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LISA BARNABY
Title or Position: OWNER
Credential: LPC
Phone: 920-591-6877