Provider Demographics
NPI:1447553631
Name:RHYS, LISA (LCMHC MLADC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:RHYS
Suffix:
Gender:F
Credentials:LCMHC MLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 COMMERCE PARK N STE 13B
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6959
Mailing Address - Country:US
Mailing Address - Phone:603-606-1233
Mailing Address - Fax:603-606-1233
Practice Address - Street 1:10 COMMERCE PARK N STE 13B
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6959
Practice Address - Country:US
Practice Address - Phone:603-606-1233
Practice Address - Fax:603-606-1233
Is Sole Proprietor?:No
Enumeration Date:2010-12-10
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NH0848101YA0400X
NH1147101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)