Lisa Champagne, BHPP
Individual provider Active NPI Case Manager/Care Coordinator · Mesa, AZ
NPI 1265839286 · NPPES record last updated Nov 20, 2014
Key facts
- NPI
- 1265839286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 621 W Southern Ave
Mesa, AZ 85210-5004 - Phone
- (602) 808-2827
- Fax
- (480) 649-4190
- NPI assigned
- Nov 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifewell Behavioral Wellness | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
621 W Southern Ave
Mesa, AZ 85210-5004
Mailing address
202 E Earll Dr
Suite 200
Phoenix, AZ 85012-2647
Phone (602) 599-5404
Other providers in Mesa, AZ
- Hayley N Chamberlain
- Gerard Brophy Chamberlin
- Chambers Foot and Ankle, LLC
- Thomas Chambers
- Kaydence Audrey Eve Champagne
- Champion House LLC
- Chan Heart Rhythm Institute PLLC
- Francisco N Chan
- Rodrigo C Chan
- Yan Yan Chan
All providers in Mesa, AZ · Case Manager/Care Coordinator in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.