National Provider Identifier
Lisa Blalock, LMHC
Lisa Blalock, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Webster, NY and a listed phone number of (585) 738-9076.
Profile Overview
- NPI
- 1639661960
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- June 01, 2018
- Last Updated
- June 01, 2018
Practice Location
- 807 Ridge RD Ste 206
- Webster, NY 14580-2497
Phone: (585) 738-9076
Mailing Address
- 411 Parsons Acres
- Ontario, NY 14519-9323
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1639661960
- Entity Type
- Individual
- Last Name
- Blalock
- First Name
- Lisa
- Credential
- LMHC
- Mailing Street Address
- 411 Parsons Acres
- Mailing City
- Ontario
- Mailing State
- NY
- Mailing ZIP Code
- 14519-9323
- Mailing Country
- US
- Mailing Phone
- (585) 738-9076
- Practice Street Address
- 807 Ridge RD Ste 206
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-2497
- Practice Country
- US
- Practice Phone
- (585) 738-9076
- Enumeration Date
- June 01, 2018
- Last Updated
- June 01, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)