person
Ms. Lisa A Faires, MEDLCPC,LMHC
Mental Health Counselor in Merritt Island, Florida
NPI 1891022919

Lisa A Faires is a Mental Health Counselor based in Merritt Island, FL and is specialized in Mental Health. Lisa A Faires practices in Merritt Island, FL and has the professional credentials of MEDLCPC,LMHC. The NPI Number for Lisa A Faires is 1891022919 and holds a License No. CC3775 (Florida).

The current practice location address for Lisa A Faires is 1380 Phyllis Dr, Merritt Island, FL and can be reached out via phone at 207-233-1350.

Location: 1380 Phyllis Dr, Merritt Island, FL, 32952-5841
person
Provider Profile Details
NPI Number
1891022919
Provider Name
Lisa A Faires
Credential
MEDLCPC,LMHC
Provider Entity Type
Individual
Gender
Female
Address
1380 Phyllis Dr, Merritt Island, FL, 32952-5841
Phone Number
207-233-1350
Fax Number
Provider Enumeration Date
11/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1380 Phyllis Dr
City
State
Zip
32952-5841
Phone Number
207-233-1350
Fax Number
person
Provider Business Mailing Address Details
Address
1380 Phyllis Dr
City
State
Zip
32952-5841
Phone Number
207-233-1350
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH 13040 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC3775 (Maine)
Definition
Definition to come...
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