person
Lisa Blackwood, LPC
Professional Counselor in Austin, Texas
NPI 1720139769

Lisa Blackwood is a Professional Counselor based in Austin, TX and is specialized in Professional. Lisa Blackwood practices in Austin, TX and has the professional credentials of LPC. The NPI Number for Lisa Blackwood is 1720139769 and holds a License No. 4065 (Texas).

The current practice location address for Lisa Blackwood is 5425A Burnet Rd, Austin, TX and can be reached out via phone at 512-451-7337 and via fax at 512-451-8729. You can also correspond with Lisa Blackwood through the mailing address at 7929 SNOOK HOOK TRL, AUSTIN, TX - 78729-4924 (mailing address contact number: 512-451-7337).

Location: 5425A Burnet Rd, Austin, TX, 78729-4924
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Provider Profile Details
NPI Number
1720139769
Provider Name
Lisa Blackwood
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
5425A Burnet Rd, Austin, TX, 78729-4924
Phone Number
512-451-7337
Fax Number
512-451-8729
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8433BH 01 TX BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
5425A Burnet Rd
City
State
Zip
78756-1627
Phone Number
512-451-7337
Fax Number
512-451-8729
person
Provider Business Mailing Address Details
Address
5425A Burnet Rd
City
State
Zip
78756-1627
Phone Number
512-451-7337
Fax Number
512-451-8729
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
19803 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4065 (Texas)
Definition
Definition to come...
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