Individual
LISA BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
261 NORTH ST, BRISTOL, VA 24201-3275
(276) 821-8030
(423) 900-2435
Mailing address
28187 OSCEOLA RD, ABINGDON, VA 24211-6400
(276) 698-4582
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701006880
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103678
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000721
VA
101YP2500X
Professional Counselor
Primary
0701006880
VA
Other
Enumeration date
12/15/2016
Last updated
06/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us