Doctor Name: | MS. LISA RAY |
NPI Number: | 1073859435 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 5451 |
Business Practice Address: | 5001 Westbank Expy Marrero, LA - 700722954 |
Business Phone Number: | 5043498708 |
Business Fax Number: | 5043498768 |
Mailing Address: | 4801 Hickory Drive, SLIDELL |
State: | LA |
Postal Code: | 704584915 |
Phone Number: | 2566525846 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2012 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 5451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |