Provider Demographics
NPI:1952075897
Name:HOOD, LISA ALINE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:ALINE
Last Name:HOOD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 DERRYMORE RD
Mailing Address - Street 2:
Mailing Address - City:NANTUCKET
Mailing Address - State:MA
Mailing Address - Zip Code:02554-2133
Mailing Address - Country:US
Mailing Address - Phone:508-364-1559
Mailing Address - Fax:
Practice Address - Street 1:17 DERRYMORE RD
Practice Address - Street 2:
Practice Address - City:NANTUCKET
Practice Address - State:MA
Practice Address - Zip Code:02554-2133
Practice Address - Country:US
Practice Address - Phone:508-364-1559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5383101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health