Individual
DR. LISA A. BREISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
HARMONY CENTER FOR HOLISTIC PSYCHOTHERAPY, 6625 N. 2ND STREET, LOVES PARK, IL 61111
(815) 639-0300
(815) 639-0303
Mailing address
HARMONY CENTER FOR HOLISTIC PSYCHOTHERAPY, 6625 N. 2ND STREET, LOVES PARK, IL 61111
(815) 639-0300
(815) 639-0303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
18003465
IL
101YP2500X
Professional Counselor
18003465
IL
103T00000X
Psychologist
Primary
180003465
IL
103TB0200X
Cognitive & Behavioral Psychologist
180003465
IL
103TB0200X
Cognitive & Behavioral Psychologist
18003465
IL
103TC0700X
Clinical Psychologist
180003465
IL
103TC1900X
Counseling Psychologist
180003465
IL
103TC2200X
Clinical Child & Adolescent Psychologist
180003465
IL
103TF0000X
Family Psychologist
180003465
IL
103TF0000X
Family Psychologist
18003465
IL
103TH0004X
Health Psychologist
180003465
IL
103TP2701X
Group Psychotherapy Psychologist
18003465
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180-003465
ILLINOIS STATE LICENSE
IL
Enumeration date
07/22/2006
Last updated
02/27/2020
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