Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LYSAL ENTERPRISES, INC.
Active
Organization
LYSAL ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANDA L. MOORE (CEO)
(904) 759-5089
Entity
Organization
Contact information
Practice address
7215 ZAPATA DR, JACKSONVILLE, FL 32210-4772
(904) 759-5089
(904) 573-2610
Mailing address
7215 ZAPATA DR, JACKSONVILLE, FL 32210-4772
(904) 759-5089
(904) 573-2610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers