Individual provider · Type 1 NPI
Lisa A. Faires, M.ED. LCPC, LMHC
Mental Health Counselor · Merritt Island, FL
NPI number
1891022919
Active
Practice location
1380 Phyllis Dr
Merritt Island, FL 32952-5841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | CC3775 (ME) |
| Mental Health Counselor Primary | 101YM0800X | MH 13040 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1891022919
Lisa A. Faires, M.ED. LCPC, LMHC's National Provider Identifier is 1891022919, issued on Nov 10, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Merritt Island, FL. The record was last updated on Feb 27, 2015.