# LISA'S REHABILITATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083104087
- **Authorized official:** LISA BREWER (OWNER)
- **Authorized official phone:** (775) 470-8345

## Contact information

- **Practice address:** 3650 WARREN WAY STE B2, RENO, NV 89509-5240
- **Practice address phone:** (775) 224-9515
- **Practice address fax:** (775) 823-4099
- **Mailing address:** 3650 WARREN WAY SUITE B2, C/O J. PANGALLO, RENO, NV 89509
- **Mailing address phone:** (775) 224-9515
- **Mailing address fax:** (775) 823-4099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2018
- **Last updated:** 05/15/2018