Provider Demographics
NPI:1093898983
Name:BESSES, LISA R (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:R
Last Name:BESSES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 KIRBY RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-8908
Mailing Address - Country:US
Mailing Address - Phone:828-301-7859
Mailing Address - Fax:828-505-3174
Practice Address - Street 1:779 HAYWOOD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-7113
Practice Address - Country:US
Practice Address - Phone:828-505-3174
Practice Address - Fax:828-505-3174
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2981101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102925Medicaid