BEVAN GOTTLIEB LISAC
NPI 1144643628
Counselor - Addiction (Substance Use Disorder) in Prescott, AZ

Q: What is Bevan Gottlieb's NPI number?

The NPI number for Bevan Gottlieb is 1144643628. It was assigned to this individual provider in the NPPES registry on February 4, 2014.

Q: What is Bevan Gottlieb's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Bevan Gottlieb was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since February 04, 2014

115 E GOODWIN ST, SUITE C, PRESCOTT, AZ 86303(928) 533-2411 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bevan Gottlieb Lisac NPPES

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

BEVAN GOTTLIEB LISAC (NPI 1144643628) is an individual addiction (substance use disorder) provider in Prescott, Arizona, licensed in Arizona (10822) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1144643628

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameBEVAN GOTTLIEBCredential: LISAC

Location Address115 E GOODWIN ST, SUITE CPrescott, AZ 86303-3926

Mailing Address520 Ellenwood DrPrescott, AZ 86303-4122

Phone(928) 533-2411

Sole ProprietorYes

Enumeration DateFebruary 4, 2014

✔ NPI 1144643628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in AZ · 10822

115 E GOODWIN ST, Prescott, AZ 86303

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ERIC DALE BRUMMEL PT

Physical Therapist

115 E GOODWIN ST, SUITE E1
PRESCOTT, AZ 86303

Yavapai County (928) 445-5639

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 Bevan Gottlieb's NPI number?

The NPI number for Bevan Gottlieb is 1144643628. It was assigned to this individual provider in the NPPES registry on February 4, 2014.

Where is Bevan Gottlieb located?

Bevan Gottlieb practices at 115 E Goodwin St Suite C, Prescott, AZ 86303. The listed phone number is (928) 533-2411.

What is Bevan Gottlieb's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Bevan Gottlieb was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.