Individual
LISA BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5425A BURNET RD, AUSTIN, TX 78756-1627
(512) 451-7337
(512) 451-8729
Mailing address
7929 SNOOK HOOK TRL, AUSTIN, TX 78729-4924
(512) 451-7337
(512) 451-8729
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4065
TX
101YP2500X
Professional Counselor
19803
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8433BH
BLUE CROSS
TX
Enumeration date
01/16/2007
Last updated
09/11/2025
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