person
Lisa Bolman, PCMHT
Mental Health Counselor in Gulfport, Mississippi
NPI 1457903031

Lisa Bolman is a Mental Health Counselor based in Gulfport, MS and is specialized in Mental Health. Lisa Bolman practices in Gulfport, MS and has the professional credentials of PCMHT. The NPI Number for Lisa Bolman is 1457903031 and holds a License No. 4143 (Mississippi).

The current practice location address for Lisa Bolman is 1600 Broad Ave, Gulfport, MS and can be reached out via phone at 228-863-1132.

Location: 1600 Broad Ave, Gulfport, MS, 39501-3603
person
Provider Profile Details
NPI Number
1457903031
Provider Name
Lisa Bolman
Credential
PCMHT
Provider Entity Type
Individual
Gender
Female
Address
1600 Broad Ave, Gulfport, MS, 39501-3603
Phone Number
228-863-1132
Fax Number
Provider Enumeration Date
07/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4143 (Mississippi)
Definition
Definition to come...
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