Individual
LISA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10710 OLD HIGHWAY 64, BOLIVAR, TN 38008-3587
(731) 658-6113
(731) 658-6165
Mailing address
735 ANDERSON RD, MOSCOW, TN 38057-8709
(731) 658-6113
(731) 658-6165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LPC 671
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290153000
—
TN
01
—
3156419
BCBS PROVIDER NUMBER
TN
Enumeration date
08/28/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us