Lisa N Hubbard, PHD, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LISA N HUBBARD, PHD, LLC

Practice address

5410 E County Highway 30a Ste 205
Santa Rosa Beach, FL 32459-6589

Phone

(850) 889-8869

Fax

(850) 296-8111

NPI assigned

Jan 15, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lisa N Hubbard, DR.

Title

LMHC

Phone

(850) 889-8896

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1427522119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 E COUNTY HIGHWAY 30A STE 205",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596589",
            "telephone_number": "850-889-8869",
            "fax_number": "850-296-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 E COUNTY HIGHWAY 30A STE 205",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324596589",
            "telephone_number": "850-889-8869",
            "fax_number": "850-296-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA N HUBBARD, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "850-889-8896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.