Provider Demographics
NPI:1053456848
Name:SALDANA, LISA MICHELE (LMFT)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MICHELE
Last Name:SALDANA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2837 STAY SAIL WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-8599
Mailing Address - Country:US
Mailing Address - Phone:310-486-4089
Mailing Address - Fax:
Practice Address - Street 1:2837 STAY SAIL WAY
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-8599
Practice Address - Country:US
Practice Address - Phone:310-486-4089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner