| Lisa Fort, LPC | |
|
90 Villa Nova St, Cuthbert, GA 39840-6221 | |
| (229) 732-5276 | |
| Not Available |
| Full Name | Lisa Fort |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 90 Villa Nova St, Cuthbert, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093143182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007439 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Fort, LPC 90 Villa Nova St, Cuthbert, GA 39840-6221 Ph: (229) 732-5276 | Lisa Fort, LPC 90 Villa Nova St, Cuthbert, GA 39840-6221 Ph: (229) 732-5276 |
Carla Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Villa Nova St, Cuthbert, GA 39840 Phone: 229-366-0906 | |
Agnes Williams, LPN Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Villa Nova St, Cuthbert, GA 39840 Phone: 229-732-5276 Fax: 229-732-5090 | |
Ms. Dorothy Fair Mande, S/T MSPSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 95 Atkinson St, Cuthbert, GA 39840 Phone: 229-310-0172 | |
Naomi S Jenkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 264 Lumpkin Street, Cuthbert, GA 39840 Phone: 229-732-2437 |