Provider Demographics
NPI:1619756061
Name:LISA STEKERT LCSW LICENSED CLINICAL SOCIAL WORKER INC
Entity Type:Organization
Organization Name:LISA STEKERT LCSW LICENSED CLINICAL SOCIAL WORKER INC
Other - Org Name:HOLISTIC COUNSELING COLLECTIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEKERT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:530-580-8008
Mailing Address - Street 1:PO BOX 573
Mailing Address - Street 2:
Mailing Address - City:CARNELIAN BAY
Mailing Address - State:CA
Mailing Address - Zip Code:96140-0573
Mailing Address - Country:US
Mailing Address - Phone:530-580-8008
Mailing Address - Fax:
Practice Address - Street 1:600 N LAKE BLVD STE M
Practice Address - Street 2:
Practice Address - City:TAHOE CITY
Practice Address - State:CA
Practice Address - Zip Code:96145-2274
Practice Address - Country:US
Practice Address - Phone:530-580-8008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty