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NPI Code Detail

MEDICARE: LISA GEISER LPC

MEDICARE: LISA GEISER LPC
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
1101YM0800XMental Health CounselorLPC-24445AZ

General Provider Information

NPI Number : 1790551786
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA GEISER LPC
Provider Business Mailing Address
First Line : 34975 N NORTH VALLEY PKWY STE 152L
Second Line :
City : PHOENIX
State : AZ
Zip : 85086-4032
Country : US
Telephone Number : 623-696-8555
Fax Number :
Provider Business Practice Location Address
First Line : 34975 N NORTH VALLEY PKWY STE 152L
Second Line :
City : PHOENIX
State : AZ
Zip : 85086-4032
Country : US
Telephone Number : 623-278-7379
Fax Number : 623-666-6548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2023
Last Update Date : 03/06/2026

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