person
Mrs. Lisa Ellen Provost, MS
Mental Health Counselor in Evansville, Indiana
NPI 1134290208

Lisa Ellen Provost is a Mental Health Counselor based in Evansville, IN and is specialized in Mental Health. Lisa Ellen Provost practices in Evansville, IN and has the professional credentials of MS. The NPI Number for Lisa Ellen Provost is 1134290208 and holds a License No. 39000109A (Indiana).

The current practice location address for Lisa Ellen Provost is 6221 Physicians Ct, Evansville, IN and can be reached out via phone at 812-491-7739 and via fax at 812-491-3242.

Location: 6221 Physicians Ct, Evansville, IN, 47715-4031
person
Provider Profile Details
NPI Number
1134290208
Provider Name
Lisa Ellen Provost
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
6221 Physicians Ct, Evansville, IN, 47715-4031
Phone Number
812-491-7739
Fax Number
812-491-3242
Provider Enumeration Date
11/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6221 Physicians Ct
City
State
Zip
47715-4031
Phone Number
812-491-7739
Fax Number
812-491-3242
person
Provider Business Mailing Address Details
Address
6221 Physicians Ct
City
State
Zip
47715-4031
Phone Number
812-491-7739
Fax Number
812-491-3242
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39000109A (Indiana)
Definition
Definition to come...
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