Provider Demographics
NPI:1285074930
Name:STRAUSE, LISA MARIE (LPC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:STRAUSE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-1421
Mailing Address - Country:US
Mailing Address - Phone:484-651-7367
Mailing Address - Fax:
Practice Address - Street 1:1101 JAMES ST
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-1421
Practice Address - Country:US
Practice Address - Phone:484-651-7367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008564101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional