| Doctor Name: | MS. LISA MOXLEY |
| NPI Number: | 1053489666 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | P0107030 |
| Business Practice Address: | 1109 E Main St Melbourne, AR - 72556 |
| Business Phone Number: | 8703684397 |
| Business Fax Number: | 8703687828 |
| Mailing Address: | 25 Gap Rd, BATESVILLE |
| State: | AR |
| Postal Code: | 725018679 |
| Phone Number: | 8707938900 |
| Fax Number: | 8707938959 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 04/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | P0107030 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |