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Lisa Yvette Porter
Mental Health Counselor in Gautier, Mississippi
NPI 1225758329

Lisa Yvette Porter is a Mental Health Counselor based in Gautier, MS and is specialized in Mental Health. Lisa Yvette Porter practices in Gautier, MS. The NPI Number for Lisa Yvette Porter is 1225758329 and holds a License No. (Mississippi).

The current practice location address for Lisa Yvette Porter is 3407 Shamrock Ct, Gautier, MS and can be reached out via phone at 228-497-0690.

Location: 3407 Shamrock Ct, Gautier, MS, 39553-5337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225758329
Provider Name
Lisa Yvette Porter
Credential
Provider Entity Type
Individual
Gender
Female
Address
3407 Shamrock Ct, Gautier, MS, 39553-5337
Phone Number
228-497-0690
Fax Number
Provider Enumeration Date
08/30/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018214 05 MS
institution
Provider Business Practice Location Address Details
Address
3407 Shamrock Ct
City
Gautier
State
Mississippi
Zip
39553-5337
Phone Number
228-497-0690
Fax Number
person
Provider Business Mailing Address Details
Address
3407 Shamrock Ct
City
Gautier
State
Mississippi
Zip
39553-5337
Phone Number
228-497-0690
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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