Blackwood, Lisa

Blackwood, Lisa is an sole proprietor health care provider with primary practice located at 5425A Burnet Rd , Austin TX 78756-1627. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Blackwood, Lisa can be contacted via phone (512) 451-7337.

Contact Information

Primary practice address
5425A Burnet Rd Austin TX 78756-1627
Phone: (512) 451-7337
Fax: (512) 451-8729
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4065 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 19803 Texas

Profile Details

NPI number 1720139769
LBN Legal business name Blackwood, Lisa
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 19 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 1720139769 NPPES
Texas Other 8433BH BLUE CROSS

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