person
Mrs. Martha W. Lisa, MED
Mental Health Counselor in Winter Park, Florida
NPI 1295830107

Martha W. Lisa is a Mental Health Counselor based in Winter Park, FL and is specialized in Mental Health. Martha W. Lisa practices in Winter Park, FL and has the professional credentials of MED. The NPI Number for Martha W. Lisa is 1295830107 and holds a License No. (Florida).

The current practice location address for Martha W. Lisa is 1879 Lee Rd, Winter Park, FL and can be reached out via phone at 407-599-7141 and via fax at 407-679-1567.

Location: 1879 Lee Rd, Winter Park, FL, 32789-2102
person
Provider Profile Details
NPI Number
1295830107
Provider Name
Martha W. Lisa
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
1879 Lee Rd, Winter Park, FL, 32789-2102
Phone Number
407-599-7141
Fax Number
407-679-1567
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z1792 01 FL BC/BS OF FLORIDA
institution
Provider Business Practice Location Address Details
Address
1879 Lee Rd
City
State
Zip
32789-2102
Phone Number
407-599-7141
Fax Number
407-679-1567
person
Provider Business Mailing Address Details
Address
1879 Lee Rd
City
State
Zip
32789-2102
Phone Number
407-599-7141
Fax Number
407-679-1567
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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