Doctor Name: | MS. LISA LYNN PERKINS |
NPI Number: | 1417331158 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LSW |
License Number: | AP000943706 |
Business Practice Address: | 352 Mansion St Hamlin, WV - 255231422 |
Business Phone Number: | 3048244506 |
Business Fax Number: | |
Mailing Address: | 1308 Jefferson Ave, HUNTINGTON |
State: | WV |
Postal Code: | 257042428 |
Phone Number: | 3044162256 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2015 |
NPI Last Update Date: | 07/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | AP000943706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |