Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISHA FANT, LCDC
Active Sole ProprietorLISHA FANT, LCDC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PEACHTREE CORNERS, Georgia. NPI 1194301606 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · PEACHTREE CORNERS, GA
Registration Details
- NPI Number
- 1194301606
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2021 (5.3531900497118 yrs)
- Last Updated
- Sep 22, 2023
- License
-
11296 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3941 HOLCOMB BRIDGE RD STE 100PEACHTREE CORNERS, GA, 300922292Browse GA providers · Browse ZIP 30092
- Phone
- 8558500274
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.