Provider Demographics
NPI:1154566776
Name:ALMADA, LISA F (MSC, MFT)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:F
Last Name:ALMADA
Suffix:
Gender:F
Credentials:MSC, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 U.S. HWY 95 A SOUTH
Mailing Address - Street 2:STE, G 701
Mailing Address - City:FERNLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89408-7007
Mailing Address - Country:US
Mailing Address - Phone:775-575-2144
Mailing Address - Fax:775-575-2100
Practice Address - Street 1:415 US HWY 95 A SOUTH
Practice Address - Street 2:STE, G 701
Practice Address - City:FERNLEY
Practice Address - State:NV
Practice Address - Zip Code:89408-7007
Practice Address - Country:US
Practice Address - Phone:775-575-2144
Practice Address - Fax:775-575-2100
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01168101YM0800X
NV07048106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100519952Medicaid