Provider Demographics
NPI:1477959468
Name:BISBEE, ALISHA (LCMHCA)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:BISBEE
Suffix:
Gender:
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8608 LATHANS TRL
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:27310-9897
Mailing Address - Country:US
Mailing Address - Phone:920-570-2513
Mailing Address - Fax:
Practice Address - Street 1:1692 NC 68
Practice Address - Street 2:SUITE J
Practice Address - City:OAK RIDGE
Practice Address - State:NC
Practice Address - Zip Code:27310
Practice Address - Country:US
Practice Address - Phone:920-570-2513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-18
Last Update Date:2025-02-18
Deactivation Date:2018-09-13
Deactivation Code:
Reactivation Date:2018-09-19
Provider Licenses
StateLicense IDTaxonomies
WI11684-120171M00000X
WI4126-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator