Lisa A. Breisch is a Family in Loves Park, Illinois. Lisa A. Breisch practices all healthcare services and medical treatments related to Family. The NPI Number for Lisa A. Breisch is 1629099627. The last update date is 2020-02-27.
Lisa A. Breisch's current location address is Harmony Center For Holistic Psychotherapy, Loves Park, Illinois. You can contact this provider via phone number 8156390300 and fax number 8156390303. The mailing address for Lisa A. Breisch is Harmony Center For Holistic Psychotherapy, Loves Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa A. Breisch |
|---|---|
| Address | Harmony Center For Holistic Psychotherapy, Loves Park, Illinois |
| Phone Number | 8156390300 |
| Fax Number | 8156390303 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1629099627 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2020-02-27 |
Provider Mailing Address Detail
| Address | Harmony Center For Holistic Psychotherapy |
|---|---|
| City | Loves Park |
| State | Illinois (IL) |
| Post Code | 61111 |
| Phone Number | 8156390300 |
| Fax Number | 8156390303 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 103Tf0000X |
| Licence No | 180003465 |
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Definition: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180-003465 | IL | ILLINOIS STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lisa A. Breisch?
The Lisa A. Breisch has been issued the NPI (National Provider Identifier) 1629099627 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Lisa A. Breisch is located?
The Lisa A. Breisch is situated at the following address: Harmony Center For Holistic Psychotherapy, Loves Park, IL, 61111.
What is the Lisa A. Breisch's area of specialization and corresponding taxonomy classification?
The Lisa A. Breisch's specialty field is Family, and it falls under the taxonomy code 103Tf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Lisa A. Breisch receive the assignment of its 1629099627 from the Centers for Medicare & Medicaid Services?
The Lisa A. Breisch was issued its 1629099627 by the Centers for Medicare & Medicaid Services on 2006-07-22.
As of what date were the details related to Lisa A. Breisch most recently updated or revised?
The information pertaining to Lisa A. Breisch, including its address, specialty, and other relevant details, was last updated or revised on 2020-02-27.