Provider Demographics
NPI:1124179676
Name:CAWLEY-ROMERO, LISA GAYE (LPC & LMFT)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:GAYE
Last Name:CAWLEY-ROMERO
Suffix:
Gender:F
Credentials:LPC & LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 ELIZABETH DR
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-2349
Mailing Address - Country:US
Mailing Address - Phone:830-774-4868
Mailing Address - Fax:
Practice Address - Street 1:501 W CANTU RD
Practice Address - Street 2:SUITE 400
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-3056
Practice Address - Country:US
Practice Address - Phone:830-774-4447
Practice Address - Fax:830-774-4265
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10086101YP2500X
TX3532106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist