# LISA FISHER THERAPY LLC

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

## Provider details

- **NPI number:** 1215891304
- **Authorized official:** LISA FISHER LMHC (MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (712) 216-2003

## Contact information

- **Practice address:** 4156 130TH ST, IMOGENE, IA 51645-6038
- **Practice address phone:** (712) 216-2003
- **Practice address fax:** (833) 478-1503
- **Mailing address:** 4156 130TH ST, IMOGENE, IA 51645-6038
- **Mailing address phone:** (712) 216-2003
- **Mailing address fax:** (833) 478-1503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2025
- **Last updated:** 12/12/2025