Wilks, Lisa
Wilks, Lisa is an sole proprietor health care provider with primary practice located at 1300 Mercantile Ln Ste 100M , Largo MD 20774-5390. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Wilks, Lisa can be contacted via phone (202) 600-1403.Contact Information
Primary practice address
1300 Mercantile Ln Ste 100M
Largo MD 20774-5390
Phone: (202) 600-1403
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | PRC14749 | District of Columbia |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LC7708 | Maryland |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | PRC14749 | District of Columbia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC7708 | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PRC14749 | District of Columbia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC7708 | Maryland |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1598125155 |
|---|---|
| LBN Legal business name | Wilks, Lisa |
| Credentials | M.A., LPC, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2016 |
| Last updated | Jan 7th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598125155 | NPPES |
| Maryland | Other | LC7708 | LCPC |
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