Willbanks-Larriviere, Lisa

Willbanks-Larriviere, Lisa is an sole proprietor health care provider with primary practice located at 2225 County Road 90 Suite 201-D, Pearland TX 77584-5133. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Willbanks-Larriviere, Lisa can be contacted via phone (832) 754-1134.

Contact Information

Primary practice address
2225 County Road 90 Suite 201-D Pearland TX 77584-5133
Phone: (832) 754-1134
Fax: (281) 485-9419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 17604 Texas

Profile Details

NPI number 1811074891
LBN Legal business name Willbanks-Larriviere, Lisa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Nov 30th, 2010 - about 14 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 1811074891 NPPES
Texas MEDICAID 071349702
Texas MEDICAID 071349701

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