Individual provider · Type 1 NPI

Lisa Marie Porter

Mental Health Counselor · Chicago, IL

NPI number 1457718900 Active

Practice location

225 N Michigan Ave
Chicago, IL 60601

Mailing address

8354 Pima Ct
Jonesboro, GA 30236-3952

Other practice locations

  • 8354 Pima Ct, Jonesboro, GA 30236-3952 · (407) 501-2994

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X7425 (TN)
Mental Health Counselor Primary 101YM0800XMH17564 (FL)
Mental Health Counselor 101YM0800X8784 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1457718900

Lisa Marie Porter's National Provider Identifier is 1457718900, issued on Jan 27, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Nov 2, 2026.