Lisa Paige Lasalle, LPC
Individual provider Active NPI Professional Counselor · Beaumont, TX
NPI 1013646983 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1013646983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 16190 (TX)
- Practice address
- 3550 Fannin St
Beaumont, TX 77701-3805 - Phone
- (409) 833-2668
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Services of Southeast Texas Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16190 | TX | Yes |
Addresses
Primary practice location
3550 Fannin St
Beaumont, TX 77701-3805
Mailing address
2319 Helena Ave
Nederland, TX 77627-5805
Phone (409) 658-0405
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- Lauren Nicole Laserna
- Galin Latham
- Nicholas Latuso
- Richard Murray Laughlin Jr.
- Lauree Thompson MD
All providers in Beaumont, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.