# LISALYNN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Green Pastures Mental Health services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871268904
- **Authorized official:** LISA LYNN HENGEN DNP (OWNER)
- **Authorized official phone:** (308) 520-2988

## Contact information

- **Practice address:** 1912 BAY RD, DUBOIS, PA 15801
- **Practice address phone:** (308) 520-2988
- **Mailing address:** 967 TREASURE LK, DU BOIS, PA 15801-9022
- **Mailing address phone:** (308) 520-2988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2021
- **Last updated:** 09/07/2023