MEDICARE: LISA LENIUS

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
1	101YP2500X	Professional Counselor	LPC-17286	AZ

General Provider Information

NPI Number	:	1386130318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA LENIUS

Provider Business Mailing Address
First Line	:	5055 E BROADWAY BLVD STE C-104
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-3641
Country	:	US
Telephone Number	:	520-272-2536
Fax Number	:

Provider Business Practice Location Address
First Line	:	5055 E BROADWAY BLVD STE C-104
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-3641
Country	:	US
Telephone Number	:	520-272-2536
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2018
Last Update Date	:	07/02/2018

Similar Medicare Providers

1275497604 — SKYLA GUILLEN LCSW
Practice Location Address:

5055 E BROADWAY BLVD STE C104
TUCSON, AZ
85711-3641

Practice Phone: 520-623-9833
Practice Fax: 520-623-9083

1205842705 — PANTANO BEHAVIORAL HEALTH SERVICES, INC.
Practice Location Address:

5055 E BROADWAY BLVD STE C104
TUCSON, AZ
85711-3641

Practice Phone: 520-623-9833
Practice Fax: 520-623-9083

1437306362 — JON CRAIG REARDON LCSW
Practice Location Address:

5055 E BROADWAY BLVD STE C-104
TUCSON, AZ
85711-3641

Practice Phone: 520-571-6461
Practice Fax: 520-512-4056

1609245273 — INTERMOUNTAIN HEALTH CENTER INC
Practice Location Address:

5055 E BROADWAY BLVD STE C104
TUCSON, AZ
85711-3641

Practice Phone: 520-628-9833
Practice Fax: 520-623-9083

1083072375 — LETHA GRADY
Practice Location Address:

5055 E BROADWAY BLVD STE C-104
TUCSON, AZ
85711-3641

Practice Phone: 520-721-1887
Practice Fax:

1588138911 — CANDICE WALLER LPC-MHSP
Practice Location Address:

5055 E BROADWAY BLVD STE C104
TUCSON, AZ
85711-3641

Practice Phone: 520-623-9833
Practice Fax: 520-923-9083

Directions to “ LISA LENIUS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.