Provider Demographics
NPI:1265693832
Name:TORBERT, LISA HEATHER (MS, CADC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:HEATHER
Last Name:TORBERT
Suffix:
Gender:F
Credentials:MS, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1169 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-6539
Mailing Address - Country:US
Mailing Address - Phone:302-678-3433
Mailing Address - Fax:302-678-2232
Practice Address - Street 1:1169 WALKER RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-6539
Practice Address - Country:US
Practice Address - Phone:302-678-3433
Practice Address - Fax:302-678-2232
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE2002103334Medicaid