Individual provider · Type 1 NPI

Lisa Elmore

Day Training/Habilitation Specialist · Ellisville, MS

NPI number 1336074673 Active

Practice location

5192 Highway 11 N
Ellisville, MS 39437-5050

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000X0741 (MS)

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1336074673

Lisa Elmore's National Provider Identifier is 1336074673, issued on Jun 17, 2026. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Ellisville, MS. The record was last updated on Jun 17, 2026.