Provider Demographics
NPI:1467883314
Name:LMT ENTERPRISES, LLC
Entity Type:Organization
Organization Name:LMT ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TAIT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-356-0101
Mailing Address - Street 1:5238 ASHLEY DR SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-6639
Mailing Address - Country:US
Mailing Address - Phone:770-356-0101
Mailing Address - Fax:
Practice Address - Street 1:5238 ASHLEY DR SW
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-6639
Practice Address - Country:US
Practice Address - Phone:770-356-0101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-03
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007320101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty