Healthcare Provider Details

I. General information

NPI: 1366372112
Provider Name (Legal Business Name): LISA DOSS HOUCHENS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W COMMERCE ST
AMHERST VA
24521-1115
US

IV. Provider business mailing address

120 W COMMERCE ST
AMHERST VA
24521-1115
US

V. Phone/Fax

Practice location:
  • Phone: 434-946-2316
  • Fax:
Mailing address:
  • Phone: 434-946-2316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904020457
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: