LISA BOULAY NPI 1538742044

NPI Information

NPI: 1538742044
Provider Name: LISA BOULAY
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Individual
Address:
18256 E WILLIAMS FIELD RD
GILBERT, AZ
ZIP 85295
Phone: (480) 356-4370
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Lisa Boulay is a substance abuse rehabilitation facility in Gilbert, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. Lisa Boulay NPI is 1538742044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18256 E WILLIAMS FIELD RD
GILBERT, AZ
ZIP 85295-801
Phone: (480) 356-4370

The enumeration date for this NPI number is 5/3/2021 and was last updated on 5/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	251B00000X	Case Management		No
3	324500000X	Substance Abuse Rehabilitation Facility		Yes
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	091693	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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