Provider Demographics
NPI:1255780458
Name:LISA MURPHY-THOMPSON PLLC
Entity type:Organization
Organization Name:LISA MURPHY-THOMPSON PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL/INCORPORATOR/ORGANIZER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:AIMEE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:CRC, LPC, PHD
Authorized Official - Phone:479-935-5430
Mailing Address - Street 1:221 N. EAST STREET
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701
Mailing Address - Country:US
Mailing Address - Phone:479-935-5430
Mailing Address - Fax:877-355-8230
Practice Address - Street 1:221 N EAST AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-5226
Practice Address - Country:US
Practice Address - Phone:479-935-5430
Practice Address - Fax:877-355-8230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1605056101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty