LISA BOURNE LPC NPI 1700320363

NPI Information

  • NPI: 1700320363
  • Provider Name: LISA BOURNE, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 261 NORTH ST
    BRISTOL, VA
    ZIP 24201
  • Phone: (276) 821-8030

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NPI Details

Lisa Bourne, LPC is a professional counselor in Bristol, VA. Lisa Bourne, LPC NPI is 1700320363. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

261 NORTH ST
BRISTOL, VA
ZIP 24201-275
Phone: (276) 821-8030
Fax: (423) 900-2435

The enumeration date for this NPI number is 12/15/2016 and was last updated on 6/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor0701006880VIRGINIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)0710103678VIRGINIANo
3101YA0400XCounselorAddiction (Substance Use Disorder)0718000721VIRGINIANo
4101YP2500XCounselorProfessional0701006880VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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