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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LISA A FAIRES, M.ED. LCPC,LMHC

Active Sole Proprietor

MS. LISA A FAIRES, M.ED. LCPC,LMHC is a Mental Health Counselor healthcare provider located in MERRITT ISLAND, Florida. NPI 1891022919 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · MERRITT ISLAND, FL

Registration Details

NPI Number
1891022919
Provider Type
Individual
Gender
Female
NPI Issued
Nov 10, 2009 (16.719947890235 yrs)
Last Updated
Feb 27, 2015
Licenses
CC3775 (ME)
MH 13040 (FL)
Sole Proprietor
Yes

Practice Information

Address
1380 PHYLLIS DR
MERRITT ISLAND, FL, 329525841
Browse FL providers · Browse ZIP 32952
Phone
2072331350
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in MERRITT ISLAND, FL

Name Credential NPI
MS. ROSALIND MANDLER LMHC 1578512786
DR. JOHN H ARNOLD JR. LPC 1447282793
SHARON B KLINE LMHC 1336250034
MRS. PAMELA KRAKE FLETCHER MS,LMHC 1790847127
WILLIAM JAMES LESTER 1942599030
MR. MICHAEL JAMES MIJON M.A. 1548510134
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.