Provider Information for 1275725079
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
LISA SPEARS LPC
Sex: Female
NPI: 1275725079
Last Updated: 2007-08-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1275725079 | ||||||||
| Enumeration Date | 2007-08-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 231 S 10TH ST STE B GRIFFIN, GA 30224-2835 United States Phone: 770-233-2809 | Fax: | ||||||||
| Primary Practice Address | 231 S 10TH ST STE B GRIFFIN, GA 30224-2835 United States Phone: 770-233-2809 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|