| Lisa Barber, Lpc, Llc | |
|
2442 E Maple Ave Ste 204 Grand Blanc MI 48507-4491 | |
| (248) 266-1222 | |
| Not Available |
| Full Name | Lisa Barber, Lpc, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2442 E Maple Ave Ste 204, Grand Blanc, Michigan |
| Authorized Official Name and Position | Lisa A Barber (AUTHORIZED OFFICIAL/OWNER) |
| Authorized Official Contact | 2482661222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Barber, Lpc, Llc 2442 E Maple Ave Ste 204 Grand Blanc MI 48507-4491 Ph: (248) 266-1222 | Lisa Barber, Lpc, Llc 2442 E Maple Ave Ste 204 Grand Blanc MI 48507-4491 Ph: (248) 266-1222 |
| NPI Number | 1699408864 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Medicare PECOS PAC ID | 4284087297 |
|---|---|
| Medicare Enrollment ID | O20240125003955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699408864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lisa A Barber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710123252 PECOS PAC ID: 1850734344 Enrollment ID: I20240212003951 |
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