| Lisa Philippart Lpc Llc | |
|
540 Hughes Rd Ste 10a Madison AL 35758-8936 | |
| (256) 631-7898 | |
| (256) 542-3366 |
| Full Name | Lisa Philippart Lpc Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 540 Hughes Rd Ste 10a, Madison, Alabama |
| Authorized Official Name and Position | Lisa Lynn Philippart (OWNER) |
| Authorized Official Contact | 2563260909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Philippart Lpc Llc 540 Hughes Rd Ste 10a Madison AL 35758-8936 Ph: (256) 631-7898 | Lisa Philippart Lpc Llc 540 Hughes Rd Ste 10a Madison AL 35758-8936 Ph: (256) 631-7898 |
| NPI Number | 1790301505 |
|---|---|
| Provider Enumeration Date | 06/18/2020 |
| Last Update Date | 06/18/2020 |
| Certification Date | 06/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790301505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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