Individual provider · Type 1 NPI
Lisa Moxley, LPC
Professional Counselor · Melbourne, AR
NPI number
1053489666
Active
Practice location
1109 E Main St
Melbourne, AR 72556
Fax (870) 368-7828
Mailing address
25 Gap Rd
Batesville, AR 72501-8679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | P0107030 (AR) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P0107030 (AR) |
| Mental Health Counselor | 101YM0800X | P0107030 (AR) |
| Professional Counselor Primary | 101YP2500X | P0107030 (AR) |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Melbourne
About NPI 1053489666
Lisa Moxley, LPC's National Provider Identifier is 1053489666, issued on Dec 1, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Melbourne, AR. The record was last updated on Apr 8, 2009.