# LISA H. KORNBERG, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811762891
- **Authorized official:** LISA HARRIET KORNBERG LCPC (PSYCHOTHERAPIST)
- **Authorized official phone:** (443) 590-3701

## Contact information

- **Practice address:** 5901 FALLS RD, BALTIMORE, MD 21209-3725
- **Practice address phone:** (113) 590-3701
- **Practice address fax:** (844) 917-2824
- **Mailing address:** 5901 FALLS RD, BALTIMORE, MD 21209-3725
- **Mailing address phone:** (443) 590-3701
- **Mailing address fax:** (844) 917-2824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2023
- **Last updated:** 11/20/2023