Provider Demographics
NPI:1942259585
Name:SAYEGH, LISA (LCSW, PHD, BCD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:SAYEGH
Suffix:
Gender:F
Credentials:LCSW, PHD, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 METAIRIE HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-3039
Mailing Address - Country:US
Mailing Address - Phone:504-300-8172
Mailing Address - Fax:
Practice Address - Street 1:6221 S CLAIBORNE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-4142
Practice Address - Country:US
Practice Address - Phone:719-213-3961
Practice Address - Fax:504-300-8172
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA114811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical