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Lisa Duez Lcsw Llc
Adolescent and Children Mental Health Clinic/Center in Virginia Beach, Virginia
NPI 1659813996

Lisa Duez Lcsw Llc is an Adolescent and Children Mental Health Clinic/Center based in Virginia Beach, VA and is specialized in Adolescent and Children Mental Health. Lisa Duez Lcsw Llc practices in Virginia Beach, VA. The NPI Number for Lisa Duez Lcsw Llc is 1659813996 and holds a License No. (Virginia).

The current practice location address for Lisa Duez Lcsw Llc is 5301 Providence Rd Ste 20, Virginia Beach, VA and can be reached out via phone at 757-347-8840 and via fax at 746-829-1667. You can also correspond with Lisa Duez Lcsw Llc through the mailing address at 5301 PROVIDENCE RD STE 20, VIRGINIA BEACH, VA - 23464-4128 (mailing address contact number: 757-347-8840).

Location: 5301 Providence Rd Ste 20, Virginia Beach, VA, 23464-4128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659813996
Provider Name
Lisa Duez Lcsw Llc
Credential
Provider Entity Type
Organization
Address
5301 Providence Rd Ste 20, Virginia Beach, VA, 23464-4128
Phone Number
757-347-8840
Fax Number
746-829-1667
Provider Enumeration Date
11/16/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q45898A 05 VA
1104156231 01 VA INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
5301 Providence Rd Ste 20
City
Virginia Beach
State
Virginia
Zip
23464-4128
Phone Number
757-347-8840
Fax Number
746-829-1667
person
Provider Business Mailing Address Details
Address
5301 Providence Rd Ste 20
City
Virginia Beach
State
Virginia
Zip
23464-4128
Phone Number
757-347-8840
Fax Number
746-829-1667
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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