Provider Demographics
NPI:1699408864
Name:LISA BARBER, LPC, LLC
Entity Type:Organization
Organization Name:LISA BARBER, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:248-266-1222
Mailing Address - Street 1:2442 E MAPLE AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48507-4491
Mailing Address - Country:US
Mailing Address - Phone:248-266-1222
Mailing Address - Fax:
Practice Address - Street 1:2442 E MAPLE AVE STE 204
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48507-4491
Practice Address - Country:US
Practice Address - Phone:248-266-1222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty