Provider Demographics
NPI:1699077982
Name:MORISON, LISA ELLEN (LCPC)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:ELLEN
Last Name:MORISON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 MAINE ST
Mailing Address - Street 2:(2ND FLOOR)
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2016
Mailing Address - Country:US
Mailing Address - Phone:207-607-4177
Mailing Address - Fax:
Practice Address - Street 1:56 MAINE ST
Practice Address - Street 2:(2ND FLOOR)
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2016
Practice Address - Country:US
Practice Address - Phone:207-607-4177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3070101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health