| Lisa Carpenter Lpc, Pa | |
|
302 S Main St Malvern AR 72104-3737 | |
| (501) 229-1515 | |
| (888) 337-2305 |
| Full Name | Lisa Carpenter Lpc, Pa |
|---|---|
| Speciality | Counselor - Professional |
| Location | 302 S Main St, Malvern, Arkansas |
| Authorized Official Name and Position | Lisa Carpenter (OWNER) |
| Authorized Official Contact | 5012291515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Carpenter Lpc, Pa 302 S Main St Malvern AR 72104-3737 Ph: (501) 229-1515 | Lisa Carpenter Lpc, Pa 302 S Main St Malvern AR 72104-3737 Ph: (501) 229-1515 |
| NPI Number | 1568282101 |
|---|---|
| Provider Enumeration Date | 10/16/2024 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568282101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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