Organization
LISA L COSTON MS LMHC
Active
Parent organization
LISA L COSTON MS LMHC
Other names
Lisa L Coston MS LMHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LISA L COSTON MS LMHC
Authorized official
LISA LYNN COSTON MS LMHC (OWNER)
(765) 714-0545
Entity
Organization
Contact information
Practice address
10255 COMMERCE DR, CARMEL, IN 46032-7699
(765) 714-0545
Mailing address
130 N RACEWAY RD, INDIANAPOLIS, IN 46234-9208
(765) 714-0545
(765) 441-3036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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