Provider Demographics
NPI:1619559986
Name:SBAHIA, LISA E (LPC, LCADC)
Entity Type:Individual
Prefix:MISS
First Name:LISA
Middle Name:E
Last Name:SBAHIA
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 N VAN BRUNT ST STE 22
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2716
Mailing Address - Country:US
Mailing Address - Phone:201-875-5699
Mailing Address - Fax:201-402-6321
Practice Address - Street 1:40 N VAN BRUNT ST STE 22
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2716
Practice Address - Country:US
Practice Address - Phone:201-875-5699
Practice Address - Fax:201-402-6321
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00310400101YA0400X
NJ37PC00673600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)