Individual
MRS. LISA CHRISTIAN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S, NCC, RPT-S
Contact information
Practice address
500 SHAE PARK RD, MONTGOMERY, AL 36117-3597
(334) 270-5502
Mailing address
600 SUN TEMPLE DR, MADISON, AL 35758-8643
(256) 288-3333
(256) 288-3334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2462
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
698575
BEACON HEALTH OPTIONS
—
Enumeration date
03/23/2007
Last updated
01/21/2021
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