1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Counselor
  6. NPI Profile

LISA HARRISON PENN CAC
NPI 1093021214
Counselor - Addiction (Substance Use Disorder) in Shreveport, LA

Active since August 25, 2010
1310 N HEARNE AVE, SHREVEPORT, LA 71107(318) 676-5111(318) 676-5137 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 18, 2017 (2 updates tracked since 2017).

About Lisa Harrison Penn Cac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA HARRISON PENN CAC (NPI 1093021214) is an individual addiction (substance use disorder) provider in Shreveport, Louisiana, licensed in Louisiana (CAC1339) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1093021214
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLISA HARRISON PENNCredential: CAC
Location Address1310 N HEARNE AVEShreveport, LA 71107-6516
Mailing Address1310 N Hearne AveShreveport, LA 71107-6516 · (318) 676-5111 · Fax (318) 676-5137
Phone(318) 676-5111
Fax(318) 676-5137
Sole ProprietorNo
Enumeration DateAugust 25, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1093021214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in LA · CAC1339
1310 N HEARNE AVE, Shreveport, LA 71107
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON ANN GOLDSMITH
Case Manager/Care Coordinator
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5328
JUANITA CARMELLA JONES FRALEY MA, NCC, LPC
Counselor (Professional)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5111
MR. LESLIE FRANK KIRKLAND P.D.
Pharmacist (Psychiatric)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5155
MS. LA DONNA RHNEE HAMBRICK GSW
Social Worker
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5135
SARA L RICE LPC
Counselor (Professional)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5111
DR. MICHAEL VITTORIO SUSANO M.D.
Psychiatry & Neurology (Psychiatry)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5111
LAWRENCE E. WATSON
Counselor (Professional)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5147
MRS. AMANDA KAY WHITE M.S.
Counselor (Mental Health)
1310 N HEARNE AVE
SHREVEPORT, LA 71107
Caddo Parish (318) 676-5111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Penn's NPI number?

The NPI number for Lisa Penn is 1093021214. It was assigned to this individual provider in the NPPES registry on August 25, 2010.

Where is Lisa Penn located?

Lisa Penn practices at 1310 N Hearne Ave, Shreveport, LA 71107. The listed phone number is (318) 676-5111.

What is Lisa Penn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lisa Penn was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.