Organization
DR LISA E-THERAPY
Active
Other names
Synergy eTherapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA EILEEN LOVELACE PSYD (OWNER, CLINICAL PSYCHOLOGY)
(612) 642-1355
Entity
Organization
Contact information
Practice address
3539 DOUGLAS DR N, MINNEAPOLIS, MN 55422-2415
(612) 642-1355
(612) 756-7059
Mailing address
3539 DOUGLAS DR N, MINNEAPOLIS, MN 55422-2415
(612) 642-1355
(612) 756-7059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
12/06/2019
Last updated
11/03/2021
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