LISA MICHELLE BACON LMHC NPI 1861629677

NPI Information

NPI: 1861629677
Provider Name: LISA MICHELLE BACON, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
710 ROUTE 28
HARWICH PORT, MA
ZIP 02646
Phone: (508) 237-0057
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Lisa Michelle Bacon, LMHC is a mental health counselor in Harwich Port, MA. Lisa Michelle Bacon, LMHC NPI is 1861629677. 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:

710 ROUTE 28
HARWICH PORT, MA
ZIP 02646-931
Phone: (508) 237-0057

The enumeration date for this NPI number is 6/18/2009 and was last updated on 2/16/2024.

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
1	101YM0800X	Counselor	Mental Health	LC3045	MARYLAND	No
2	101YM0800X	Counselor	Mental Health	9682	MASSACHUSETTS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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