Provider Demographics
NPI:1053701185
Name:SAYERS, LISA (MA, NCC, LPC, LBS)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:SAYERS
Suffix:
Gender:F
Credentials:MA, NCC, LPC, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 ALDER BOTTOM RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:PA
Mailing Address - Zip Code:16405-2009
Mailing Address - Country:US
Mailing Address - Phone:814-462-7869
Mailing Address - Fax:814-664-2552
Practice Address - Street 1:221 N CENTER ST
Practice Address - Street 2:
Practice Address - City:CORRY
Practice Address - State:PA
Practice Address - Zip Code:16407-1626
Practice Address - Country:US
Practice Address - Phone:814-462-7869
Practice Address - Fax:814-964-4115
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000967103K00000X
PAPC008002101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1030073760001Medicaid