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NPI Code Detail

MEDICARE: LISA A DENNIS LPCC-S

MEDICARE: LISA A DENNIS LPCC-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorE.0007961-SUPVOH
2101YP2500XProfessional CounselorE.0007961OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356676456
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA A DENNIS LPCC-S
Provider Business Mailing Address
First Line : 7232 JUSTIN WAY
Second Line :
City : MENTOR
State : OH
Zip : 44060-4881
Country : US
Telephone Number : 440-578-8200
Fax Number :
Provider Business Practice Location Address
First Line : 3445 S MAIN ST
Second Line :
City : COVENTRY TOWNSHIP
State : OH
Zip : 44319-3028
Country : US
Telephone Number : 330-237-6943
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2009
Last Update Date : 11/20/2025

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Directions to “ LISA A DENNIS LPCC-S” Practice Location

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