Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Lisa Marie Boomers, LLPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1477900819

Miss. Lisa Marie Boomers, LLPC is an Addiction (Substance Use Disorder) Counselor in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

1215 Fulton St E
Grand Rapids, MI 49503-3849
Phone: (616) 742-0351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 6401017408 (MI)

Record details

NPI number1477900819
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLPC
Sole proprietorNo
NPI enumeratedMay 16, 2016
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020

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