Lisa S Eley
Individual provider Active NPI Professional Counselor · Forestville, MD
NPI 1326729286 · NPPES record last updated Jul 25, 2023
Key facts
- NPI
- 1326729286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 1211 Woodlark Drive
Forestville, MD 20747 - Phone
- (301) 875-7069
- NPI assigned
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
1211 Woodlark Drive
Forestville, MD 20747
Mailing address
1211 Woodlark Drive
Forestville, MD 20747
Phone (301) 875-7069
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2023. 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.