Provider Demographics
NPI:1497044176
Name:RECTOR, LISA HELEN (MA-LPC)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:HELEN
Last Name:RECTOR
Suffix:
Gender:F
Credentials:MA-LPC
Other - Prefix:MS
Other - First Name:LISA
Other - Middle Name:HELEN
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA-LPC
Mailing Address - Street 1:15146 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:MARNE
Mailing Address - State:MI
Mailing Address - Zip Code:49435-9605
Mailing Address - Country:US
Mailing Address - Phone:844-776-9651
Mailing Address - Fax:616-341-6013
Practice Address - Street 1:15146 16TH AVE
Practice Address - Street 2:
Practice Address - City:MARNE
Practice Address - State:MI
Practice Address - Zip Code:49435-9605
Practice Address - Country:US
Practice Address - Phone:844-776-9651
Practice Address - Fax:616-341-6013
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401006896101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional