Baldwin, Lisa K

Baldwin, Lisa K is an individual health care provider with primary practice located at 1405 Rucker Blvd , Enterprise AL 36330-2236. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Baldwin, Lisa K can be contacted via phone (334) 417-0212.

Contact Information

Primary practice address
1405 Rucker Blvd Enterprise AL 36330-2236
Phone: (334) 417-0212
Fax: (334) 417-0213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 04998 Alabama
Behavioral Health & Social Service Providers / Professional 101YP2500X 04998 Alabama

Profile Details

NPI number 1699007765
LBN Legal business name Baldwin, Lisa K
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2010
Last updated Aug 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699007765 NPPES
Florida MEDICAID 001428100

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