| Lisa S Whipple Counseling | |
|
2116 Thompson Rd Ste 102 Richmond TX 77469-5415 | |
| (281) 250-6650 | |
| Not Available |
| Full Name | Lisa S Whipple Counseling |
|---|---|
| Speciality | Counselor |
| Location | 2116 Thompson Rd Ste 102, Richmond, Texas |
| Authorized Official Name and Position | Lisa Sue Whipple (OWNER) |
| Authorized Official Contact | 2812506650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa S Whipple Counseling 3507 Dancing Daisy Ln Richmond TX 77406-1750 Ph: (281) 250-6650 | Lisa S Whipple Counseling 2116 Thompson Rd Ste 102 Richmond TX 77469-5415 Ph: (281) 250-6650 |
| NPI Number | 1013531094 |
|---|---|
| Provider Enumeration Date | 06/04/2020 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Medicare PECOS PAC ID | 2769894104 |
|---|---|
| Medicare Enrollment ID | O20201209001238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013531094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lisa Sue Whipple |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093820987 PECOS PAC ID: 8325460819 Enrollment ID: I20200630001542 |
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