Provider Demographics
NPI:1356653554
Name:LEE-BRIGGS, LISA A
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:A
Last Name:LEE-BRIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 SUMMERWIND DR
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38571-3694
Mailing Address - Country:US
Mailing Address - Phone:760-401-1127
Mailing Address - Fax:
Practice Address - Street 1:485 SUMMERWIND DR
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38571-3694
Practice Address - Country:US
Practice Address - Phone:760-401-1127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA99757106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist