Brock, Lisa G

Brock, Lisa G is an sole proprietor health care provider with primary practice located at 2200 S Waldron Rd , Fort Smith AR 72903-3088. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Brock, Lisa G can be contacted via phone (479) 242-7111.

Contact Information

Primary practice address
2200 S Waldron Rd Fort Smith AR 72903-3088
Phone: (479) 242-7111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X M1807017 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P1808107 Arkansas

Profile Details

NPI number 1629478946
LBN Legal business name Brock, Lisa G
Credentials MS, LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2014
Last updated May 17th, 2024 - about last year

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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