| Lisa Willmon Lpc-s Pllc | |
|
922 Main St Ste C Bastrop TX 78602-3810 | |
| (512) 333-4040 | |
| Not Available |
| Full Name | Lisa Willmon Lpc-s Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 922 Main St Ste C, Bastrop, Texas |
| Authorized Official Name and Position | Lisa R Willmon (OWNER) |
| Authorized Official Contact | 5123334040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Willmon Lpc-s Pllc 489 Agnes St # 408 Bastrop TX 78602-2156 Ph: (512) 333-4040 | Lisa Willmon Lpc-s Pllc 922 Main St Ste C Bastrop TX 78602-3810 Ph: (512) 333-4040 |
| NPI Number | 1154186484 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154186484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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