Individual ProviderLisa Marie Soleymani-AlizadehCounselorBehavioral Health & Social Service ProvidersPractice Address18405 Kristi Rd E, Liberty, MO 64068-8567(816) 200-7087PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Marie Soleymani-Alizadeh does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1548793938Provider TypeIndividualFull NameSoleymani-Alizadeh, Lisa MarieCredentialMS, LPCGenderFemaleSole ProprietorYesEnumeration Date4/4/2017Last Updated11/9/2023Contact InformationPractice LocationPractice Address18405 Kristi Rd E, Liberty, MO 64068-8567Phone(816) 200-7087FaxUnlisted FaxMailing LocationMailing Address18405 Kristi Rd E, Liberty, MO 64068-8567Phone(816) 200-7087FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense2018030575MissouriCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense03500Kansas