Provider Demographics
NPI:1457363954
Name:HORN, LISA HULL (LMHC, NCC)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:HULL
Last Name:HORN
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12025 CYPRESS LANDING AVE
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-7377
Mailing Address - Country:US
Mailing Address - Phone:352-552-4242
Mailing Address - Fax:321-710-6931
Practice Address - Street 1:244 E HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2508
Practice Address - Country:US
Practice Address - Phone:352-552-4242
Practice Address - Fax:321-710-6931
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-4685101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health