# LISA BOICE LCSW

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1205557188
- **Authorized official:** LISA BOICE (OWNER)
- **Authorized official phone:** (385) 290-9852

## Contact information

- **Practice address:** 4064 S HIGHLAND DR, MILLCREEK, UT 84124-1617
- **Practice address phone:** (385) 290-9852
- **Mailing address:** 3407 S 715 E, SALT LAKE CITY, UT 84106-1597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2022
- **Last updated:** 11/17/2022