Love, Lisa Cunningham

Love, Lisa Cunningham is an sole proprietor health care provider with primary practice located at 4093 Summerhill Sq , Texarkana TX 75503-2768. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Love, Lisa Cunningham can be contacted via phone (580) 612-6541.

Contact Information

Primary practice address
4093 Summerhill Sq Texarkana TX 75503-2768
Phone: (580) 612-6541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1164867784
LBN Legal business name Love, Lisa Cunningham
Credentials MS-LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2013
Last updated Dec 3rd, 2018 - about 7 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 1164867784 NPPES
Oklahoma MEDICAID 200111200A
Oklahoma MEDICAID 200484660B

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