Organization
LISA CICETTI PSYD LMHC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA CICETTI PSY.D., LMHC (OWNER)
(561) 734-6118
Entity
Organization
Contact information
Practice address
2500 QUANTUM LAKES DR STE 203, BOYNTON BEACH, FL 33426-8323
(561) 734-6118
(561) 369-3275
Mailing address
125 NEPTUNE DR, HYPOLUXO, FL 33462-6019
(561) 734-6118
(561) 369-3275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH 6095
FL
103G00000X
Clinical Neuropsychologist
Primary
PY7715
FL
103T00000X
Psychologist
PY 7715
FL
1041C0700X
Clinical Social Worker
PY7715
FL
251S00000X
Community/Behavioral Health Agency
PY7715
FL
253Z00000X
In Home Supportive Care Agency
PY7715
FL
291U00000X
Clinical Medical Laboratory
PY7715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684466996
—
FL
05
—
684499998
—
FL
05
—
688845302
—
FL
05
—
688845379
—
FL
Enumeration date
09/27/2007
Last updated
10/07/2025
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