Doctor Name: | MRS. LISA ROBERTS |
NPI Number: | 1730510454 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, LPCC |
License Number: | 1599 |
Business Practice Address: | 1440 Old Bethel Church Road Monticello, KY - 426331210 |
Business Phone Number: | 6063430203 |
Business Fax Number: | 6063430301 |
Mailing Address: | 126 E Evelyn Ave, MONTICELLO |
State: | KY |
Postal Code: | 426331210 |
Phone Number: | 6063078399 |
Fax Number: | 6063480440 |
NPI Enumeration Date: | 12/05/2013 |
NPI Last Update Date: | 12/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1599 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
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 |