Lisa Boomers, LLPC

NPI 1477900819 · on the registry since 2016

Practice

Address: 1215 Fulton St E
Grand Rapids, MI 49503
Phone: (616) 742-0351
Organisation at this address: Cherry Street Services, Inc.
Salvation Army Turning Point Programs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan