Provider Demographics
NPI:1851545305
Name:LISA R QUERY PHD LCP PLLC
Entity Type:Organization
Organization Name:LISA R QUERY PHD LCP PLLC
Other - Org Name:POINTE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:QUERY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:757-784-1422
Mailing Address - Street 1:501 PRINCE GEORGE ST STE 206
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-3664
Mailing Address - Country:US
Mailing Address - Phone:757-784-1422
Mailing Address - Fax:
Practice Address - Street 1:501 PRINCE GEORGE ST STE 206
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3664
Practice Address - Country:US
Practice Address - Phone:757-784-1422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004015103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty