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LISA MALT MED
NPI 1093204927
Counselor in Fort Myers, FL

Active since May 07, 2018
1614 COLONIAL BLVD, FORT MYERS, FL 33907(239) 936-6724 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Malt Med NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MALT MED (NPI 1093204927) is an individual counselor in Fort Myers, Florida and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1093204927
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLISA MALTCredential: MED
Location Address1614 COLONIAL BLVDFort Myers, FL 33907-1135
Mailing Address1225 Sw 34th TerCape Coral, FL 33914-5147 · (239) 850-1127
Phone(239) 936-6724
Sole ProprietorYes
Enumeration DateMay 7, 2018
✔ NPI 1093204927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1614 COLONIAL BLVD, Fort Myers, FL 33907
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Malt's NPI number?

The NPI number for Lisa Malt is 1093204927. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Lisa Malt located?

Lisa Malt practices at 1614 Colonial Blvd, Fort Myers, FL 33907. The listed phone number is (239) 936-6724.

What is Lisa Malt's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Lisa Malt was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.