LISA MARIE PROVOST MA, LLP
NPI 1861575508
Psychologist - Clinical in Flint, MI

Q: What is Lisa Provost's NPI number?

The NPI number for Lisa Provost is 1861575508. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Lisa Provost's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Provost was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 24, 2006

2360 S LINDEN RD, SUITE 300, FLINT, MI 48532(810) 732-0560(810) 732-6351 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Marie Provost Ma, Llp NPPES

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

LISA MARIE PROVOST MA, LLP (NPI 1861575508) is an individual clinical provider in Flint, Michigan, licensed in Michigan (6301010883) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1861575508

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLISA MARIE PROVOSTCredential: MA, LLP

Location Address2360 S LINDEN RD, SUITE 300Flint, MI 48532-5420

Mailing Address2420 Darwin LnSaginaw, MI 48603-3456 · (810) 892-0784

Phone(810) 732-0560

Fax(810) 732-6351

Sole ProprietorNo

Enumeration DateOctober 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1861575508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301010883

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2360 S LINDEN RD, Flint, MI 48532

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Other Providers at the Same Location NPPES 20

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

TARA DOWNS

Registered Nurse (Case Management)

2360 S LINDEN RD
FLINT, MI 48532

Genesee County (810) 720-2913

JIMMIE CARR

Social Worker (Clinical)

2360 S LINDEN RD, SUITE 300
FLINT, MI 48532

Genesee County (810) 732-0560

BRANDY LYNN PAULY

Licensed Practical Nurse

2360 S LINDEN RD
FLINT, MI 48532

Genesee County (810) 720-2913

LENA CHARBONEAU

Registered Nurse (Ambulatory Care)

2360 S LINDEN RD
FLINT, MI 48532

Genesee County (810) 720-2913

LINDA K. HALE MSW, LMSW

Social Worker (Clinical)

2360 S LINDEN RD, SUITE 300
FLINT, MI 48532

Genesee County (810) 732-0560

SARA GAMBINA

Registered Nurse (Ambulatory Care)

2360 S LINDEN RD
FLINT, MI 48532

Genesee County (810) 720-2913

DR. MATTHEW MCNEILL MD

Internal Medicine

2360 S LINDEN RD
FLINT, MI 48532

Genesee County (810) 720-2913

KAREN BORRUSO MSW, LMSW

Social Worker

2360 S LINDEN RD, SUITE 300
FLINT, MI 48532

Genesee County (810) 732-0560

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 Provost's NPI number?

The NPI number for Lisa Provost is 1861575508. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Lisa Provost located?

Lisa Provost practices at 2360 S Linden Rd Suite 300, Flint, MI 48532. The listed phone number is (810) 732-0560.

What is Lisa Provost's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Lisa Provost was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.