Provider Demographics
NPI:1942913272
Name:PATTON, LISA C (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:C
Last Name:PATTON
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:MISS
Other - First Name:LISA
Other - Middle Name:MICHELLE
Other - Last Name:CAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1302 NOBLE ST STE 2G
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36201-4677
Mailing Address - Country:US
Mailing Address - Phone:256-282-6655
Mailing Address - Fax:
Practice Address - Street 1:1302 NOBLE ST STE 2G
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-4677
Practice Address - Country:US
Practice Address - Phone:256-282-6655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4503101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health