Search › Maryland › 101Y00000X
Lisa Wilks, M.A., LPC, LCPC
NPI 1598125155 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1300 Mercantile Ln Ste 100m
Largo, MD 20774 - Phone
- (202) 600-1403
- Organisation at this address
- Angela Russell
Community Health Care
Eagles Wellness Center
Eagles Wellness Center
Marcos S Faltamo Crna PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 52
Additional practice sites
- 1501 S. Clinton Street Mailstop Ct 05-13, Baltimore, MD
- 1629 K St Nw, Washington, DC
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 101Y00000X
101Y00000X
101YM0800X
101YM0800X
101YP2500X
101YP2500X - Licence states on file
- DC, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-07
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 Maryland