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LISA C BOURGEAULT BA, CASAC
NPI 1679695167
Counselor - Addiction (Substance Use Disorder) in Glens Falls, NY

Active since April 04, 2007
10 HARLEM ST, GLENS FALLS, NY 12801(518) 926-7200(518) 926-7036 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa C Bourgeault Ba, Casac NPPES

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

LISA C BOURGEAULT BA, CASAC (NPI 1679695167) is an individual addiction (substance use disorder) provider in Glens Falls, New York, licensed in New York (4976) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1679695167
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLISA C BOURGEAULTCredential: BA, CASAC
Location Address10 HARLEM STGlens Falls, NY 12801-2934
Mailing Address100 Park StGlens Falls, NY 12801-4413 · (518) 926-3207 · Fax (518) 926-3215
Phone(518) 926-7200
Fax(518) 926-7036
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679695167 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 NY · 4976
10 HARLEM ST, Glens Falls, NY 12801
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Other Providers at the Same Location NPPES 4

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

JEFFREY J. TORRES LMHC - CASAC
Counselor (Addiction (Substance Use Disorder))
10 HARLEM ST
GLENS FALLS, NY 12801
Warren County (518) 926-7200
CAROL A KASOLD RN
Registered Nurse (Psychiatric/Mental Health, Adult)
10 HARLEM ST
GLENS FALLS, NY 12801
Warren County (518) 926-7200
RENEE L WARTEL LCSW
Social Worker (Clinical)
10 HARLEM ST
GLENS FALLS, NY 12801
Warren County (518) 926-7200
CONSTANCE B HOENZSCH CASAC
Counselor (Mental Health)
10 HARLEM ST
GLENS FALLS, NY 12801
Warren County (518) 926-7200

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 Bourgeault's NPI number?

The NPI number for Lisa Bourgeault is 1679695167. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Lisa Bourgeault located?

Lisa Bourgeault practices at 10 Harlem St, Glens Falls, NY 12801. The listed phone number is (518) 926-7200.

What is Lisa Bourgeault'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 Lisa Bourgeault was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.