Provider Demographics
NPI:1164255105
Name:ARREY, LISA LEANNE
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:LEANNE
Last Name:ARREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3619 N MISSION RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:90031-3136
Mailing Address - Country:US
Mailing Address - Phone:559-931-5434
Mailing Address - Fax:
Practice Address - Street 1:3619 N MISSION RD
Practice Address - Street 2:
Practice Address - City:LINCOLN HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:90031-3136
Practice Address - Country:US
Practice Address - Phone:213-721-0010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-23
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No175T00000XOther Service ProvidersPeer Specialist