Provider Demographics
NPI:1518664168
Name:LISA LOTT, PLLC
Entity Type:Organization
Organization Name:LISA LOTT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-409-7792
Mailing Address - Street 1:3139 W HOLCOMBE BLVD STE 2025
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1533
Mailing Address - Country:US
Mailing Address - Phone:210-409-7792
Mailing Address - Fax:
Practice Address - Street 1:222 W 9TH ST
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:TX
Practice Address - Zip Code:78164-3497
Practice Address - Country:US
Practice Address - Phone:210-409-7792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty