Lisa Blake

NPI 1033384540 · on the registry since 2008

Practice

Address: 11111 Houze Rd
Suite 101
Roswell, GA 30076
Phone: (770) 998-9599
Fax: (770) 645-1313
Organisation at this address: Acerose Llc
Lyles And Crawford
Cumberland Psychiatric Group
Centered Recovery Programs, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia