Individual ProviderLisa Michelle ConleyCounselorBehavioral Health & Social Service ProvidersPractice Address10 S Pond Cir, Cheshire, CT 06410-3758(203) 464-0027PECOS EnrollmentThis provider is enrolled in PECOS as LISA CONLEY.Based on the most recent information from CMS, provider Lisa Michelle Conley is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1861198715Provider TypeIndividualFull NameConley, Lisa MichelleCredentialMS LPCGenderFemaleSole ProprietorYesEnumeration Date2/2/2023Last Updated7/24/2024Contact InformationPractice LocationPractice Address10 S Pond Cir, Cheshire, CT 06410-3758Phone(203) 464-0027FaxUnlisted FaxMailing LocationMailing Address10 S Pond Cir, Cheshire, CT 06410-3758Phone(203) 464-0027FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense005792ConnecticutCode101YS0200XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense9280323294Connecticut