Martin, Lisa

Martin, Lisa is an sole proprietor health care provider with primary practice located at 913 Bluebonnet Dr , Kerrville TX 78028-3023. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Martin, Lisa can be contacted via phone (830) 459-0013.

Contact Information

Primary practice address
913 Bluebonnet Dr Kerrville TX 78028-3023
Phone: (830) 459-0013
Fax: (830) 896-3343
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 14363 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 004856-042659 Texas

Profile Details

NPI number 1598882847
LBN Legal business name Martin, Lisa
Credentials L.P.C., L.M.F.T
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated May 20th, 2011 - about 13 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 1598882847 NPPES
Texas MEDICAID 0958043-01
Texas Other 5305LC

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