Active NPI
Lutissua D Ballard, PSYD PLLC
- Clinical Psychologist
- Green Valley, AZ
National Provider Identifier
1366352189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- LUTISSUA D BALLARD, PSYD PLLC
- Practice address
- 210 W Continental Rd Ste 299
Green Valley, AZ 85622-3595 - Phone
- (520) 329-1579
- NPI assigned
- Sep 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lutissua D Ballard, PSYD
- Title
- Owner/Clinical Psychologist
- Phone
- (520) 329-1579
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
210 W Continental Rd Ste 299
Green Valley, AZ 85622-3595
Mailing address
PO Box 204
Fort Mill, SC 29716-0204
Phone (520) 329-1579
Other names 1
- Shefa Life Counseling Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1366352189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 204",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297160204",
"telephone_number": "520-329-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W CONTINENTAL RD STE 299",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856223595",
"telephone_number": "520-329-1579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTISSUA D BALLARD, PSYD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "BALLARD",
"authorized_official_first_name": "LUTISSUA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "520-329-1579",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shefa Life Counseling Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.