Lisa Larimer Burtis in Mendocino - Marriage & Family Therapist
Lisa Larimer Burtis - NPI 1952445454
Lisa Larimer Burtis is a Marriage & Family Therapist in Mendocino, California. Lisa Larimer Burtis practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Lisa Larimer Burtis is 1952445454. The last update date is 2022-06-20.
Lisa Larimer Burtis's current location address is Po Box 653, Mendocino, California. You can contact this provider via phone number 7079722261 and fax number 7079371876. The mailing address for Lisa Larimer Burtis is Po Box 653, Mendocino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Larimer Burtis |
|---|---|
| Address | Po Box 653, Mendocino, California |
| Phone Number | 7079722261 |
| Fax Number | 7079371876 |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1952445454 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2022-06-20 |
Provider Mailing Address Detail
| Address | Po Box 653 |
|---|---|
| City | Mendocino |
| State | California (CA) |
| Post Code | 954600653 |
| Phone Number | 7079722261 |
| Fax Number | 7079371876 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | LMFT49997 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1952445454 | CA | -- |
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What is the Lisa Larimer Burtis's unique identification number?
The Lisa Larimer Burtis has been assigned the NPI (National Provider Identifier) Number 1952445454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Lisa Larimer Burtis located?
The Lisa Larimer Burtis is located at Po Box 653, Mendocino, CA 954600653.
What is the Lisa Larimer Burtis's specialty and taxonomy code?
The Lisa Larimer Burtis's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date was the 1952445454 assigned to Lisa Larimer Burtis?
The Lisa Larimer Burtis was issued its 1952445454 on 2007-02-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Lisa Larimer Burtis most recently updated or refreshed?
The details pertaining to the Lisa Larimer Burtis, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-06-20.
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