Individual
MS. LISA MOXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1109 E MAIN ST, MELBOURNE, AR 72556
(870) 368-4397
(870) 368-7828
Mailing address
25 GAP RD, BATESVILLE, AR 72501-8679
(870) 793-8900
(870) 793-8959
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
P0107030
AR
101YA0400X
Addiction (Substance Use Disorder) Counselor
P0107030
AR
101YM0800X
Mental Health Counselor
P0107030
AR
101YP2500X
Professional Counselor
Primary
P0107030
AR
Other
Enumeration date
12/01/2006
Last updated
04/08/2009
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