| Lisa Barron | |
|
128 Plaza Cir Waterloo IA 50701-5139 | |
| (319) 533-5707 | |
| Not Available |
| Full Name | Lisa Barron |
|---|---|
| Speciality | Counselor |
| Location | 128 Plaza Cir, Waterloo, Iowa |
| Authorized Official Name and Position | Lisa Barron (OWNER) |
| Authorized Official Contact | 3195335707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Barron 128 Plaza Cir Waterloo IA 50701-5139 Ph: (319) 533-5707 | Lisa Barron 128 Plaza Cir Waterloo IA 50701-5139 Ph: (319) 533-5707 |
| NPI Number | 1780455386 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 05/27/2025 |
| Certification Date | 05/27/2025 |
| Medicare PECOS PAC ID | 6608210265 |
|---|---|
| Medicare Enrollment ID | O20240222001124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780455386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lisa Lmhc Barron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740656875 PECOS PAC ID: 3678919842 Enrollment ID: I20240311000710 |
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