MEDICARE: MS. LISA NEFF BROWN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	5430	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356490247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA NEFF BROWN LPC

Provider Business Mailing Address
First Line	:	PO BOX 2187
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-2187
Country	:	US
Telephone Number	:	828-631-3973
Fax Number	:	828-631-9280

Provider Business Practice Location Address
First Line	:	154 MEDICAL PARK LOOP
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-5271
Country	:	US
Telephone Number	:	828-631-3973
Fax Number	:	828-631-9280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	03/17/2016

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