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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NPI Details

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 License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2251B00000XCase ManagementNo
3324500000XSubstance Abuse Rehabilitation FacilityYes
4101YA0400XCounselorAddiction (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
1091693MEDICAIDARIZONA

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: 11/21/2025

NPI Synchronization or Removal

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