Provider Demographics
NPI:1376052266
Name:SAUNDERS, LISA MARY (LPC, LMFT ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MARY
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:LPC, LMFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 BEAVER CREEK COURT
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137
Mailing Address - Country:US
Mailing Address - Phone:1214-693-5069
Mailing Address - Fax:
Practice Address - Street 1:2307 OAK LN STE 115
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-8275
Practice Address - Country:US
Practice Address - Phone:469-227-7847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-24
Last Update Date:2017-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73162101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional