Individual provider · Type 1 NPI

Lisa K. Crain, MED, LSW, CMHT

Professional Counselor · Gulfport, MS

NPI number 1144254491 Active

Practice location

1600 Broad Ave
Gulfport, MS 39501-3603

Call (228) 863-1132 Map

Fax (228) 865-1700

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XW3612 (MS)
Professional Counselor Primary 101YP2500XW3612 (MS)

Professional Counselor: Definition to come...

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About NPI 1144254491

Lisa K. Crain, MED, LSW, CMHT's National Provider Identifier is 1144254491, issued on Jul 11, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gulfport, MS. The record was last updated on Sep 11, 2025.