| Doctor Name: | MS. LISA BAYNE |
| NPI Number: | 1083705164 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | SW 6917 |
| Business Practice Address: | 767 S State Road 7 Margate, FL - 330682831 |
| Business Phone Number: | 9549793655 |
| Business Fax Number: | |
| Mailing Address: | 11195 Nw 5th Mnr, CORAL SPRINGS |
| State: | FL |
| Postal Code: | 330717937 |
| Phone Number: | 9549131696 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 01/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | SW 6917 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |