Provider Demographics
NPI:1881848745
Name:MERCHANT, LISA VALLIE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:VALLIE
Last Name:MERCHANT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:LISA
Other - Middle Name:VALLIE
Other - Last Name:SCHOMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1225 PEACH ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-3609
Mailing Address - Country:US
Mailing Address - Phone:325-690-5176
Mailing Address - Fax:325-690-5187
Practice Address - Street 1:2626 S CLACK ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-1557
Practice Address - Country:US
Practice Address - Phone:325-690-5176
Practice Address - Fax:325-690-5187
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200903106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist