Provider Demographics
NPI:1467971812
Name:PARKER, LISA KAY (LPC, LMFT-A)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:KAY
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPC, LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 S RACE ST
Mailing Address - Street 2:
Mailing Address - City:LAMPASAS
Mailing Address - State:TX
Mailing Address - Zip Code:76550-2650
Mailing Address - Country:US
Mailing Address - Phone:714-673-5489
Mailing Address - Fax:
Practice Address - Street 1:1507 S KEY AVE STE B
Practice Address - Street 2:
Practice Address - City:LAMPASAS
Practice Address - State:TX
Practice Address - Zip Code:76550-3579
Practice Address - Country:US
Practice Address - Phone:714-673-5489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-18
Last Update Date:2017-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70476101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional