Provider Demographics
NPI:1861689259
Name:RANEY, LISA (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:
Last Name:RANEY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:LANCASTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1304 2ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:IA
Mailing Address - Zip Code:50677-2813
Mailing Address - Country:US
Mailing Address - Phone:563-581-4137
Mailing Address - Fax:
Practice Address - Street 1:1304 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:IA
Practice Address - Zip Code:50677-2813
Practice Address - Country:US
Practice Address - Phone:563-581-4137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health