| Lisa S Shepard, MA, LLPC, NCC | |
|
11111 Hall Road #303, Utica, MI 48317-5726 | |
| (773) 656-6248 | |
| Not Available |
| Full Name | Lisa S Shepard |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 11111 Hall Road #303, Utica, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932493251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | L1800340 (Michigan) | Primary |
| Entity Name | Lisa S Shepard LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124790290 PECOS PAC ID: 2264959584 Enrollment ID: O20250509000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa S Shepard, MA, LLPC, NCC 16413 Howard, Macomb, MI 48042-5783 Ph: (586) 260-4116 | Lisa S Shepard, MA, LLPC, NCC 11111 Hall Road #303, Utica, MI 48317-5726 Ph: (773) 656-6248 |
Amy Henson, MA LLPC NPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 11111 Hall Rd, Ste 303, Utica, MI 48317 Phone: 248-408-2488 |
Artemis Stanisz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11111 Hall Rd, Utica, MI 48317 Phone: 586-649-7589 |
Shamicia C Montgomery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8255 Hall Rd, Ste D, Utica, MI 48317 Phone: 248-972-8205 |
Erin Michelle Klena, Counselor Medicare: Not Enrolled in Medicare Practice Location: 45406 Kensington St, Utica, MI 48317 Phone: 586-260-0188 |
Frederick Joseph Hogan Ii, M.A., L.P.C. Counselor Medicare: Accepting Medicare Assignments Practice Location: 11111 Hall Rd, Suite 303, Utica, MI 48317 Phone: 586-997-3153 Fax: 586-997-4956 |
Michael Washburn, M.M., M.A., CSAT-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 11111 Hall Rd, Suite 300, Utica, MI 48317 Phone: 586-997-3153 |
Aaron Daniel Bahlman-clippard, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11111 Hall Rd Ste 300, Utica, MI 48317 Phone: 586-887-3153 |