Carson, Lisa Marie

Carson, Lisa Marie is an individual health care provider with primary practice located at 1009 N Georgetown St , Round Rock TX 78664-3289. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Carson, Lisa Marie can be contacted via phone (512) 255-1720.

Contact Information

Primary practice address
1009 N Georgetown St Round Rock TX 78664-3289
Phone: (512) 255-1720
Fax: (512) 244-8403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 15700 Texas

Profile Details

NPI number 1497927826
LBN Legal business name Carson, Lisa Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2008
Last updated Mar 26th, 2008 - about 18 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 1497927826 NPPES
Texas MEDICAID PENDING

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