Houston, Lisa Lynn

Houston, Lisa Lynn is an sole proprietor health care provider with primary practice located at 301 W College Ave Suite 19, Silver City NM 88061-5002. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Houston, Lisa Lynn can be contacted via phone (575) 574-0267.

Contact Information

Primary practice address
301 W College Ave Suite 19 Silver City NM 88061-5002
Phone: (575) 574-0267
Fax: (575) 388-1035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1210 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0083931 New Mexico
Behavioral Health & Social Service Providers / Professional 101YP2500X 0083931 New Mexico
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0083931 New Mexico

Profile Details

NPI number 1982916680
LBN Legal business name Houston, Lisa Lynn
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2010
Last updated Jun 20th, 2024 - about 6 months 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 1982916680 NPPES
New Mexico MEDICAID 65109856

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