KRISTY JO LIS PLPC
NPI 1811230113
Counselor - Professional in Southaven, MS

The NPI number for Kristy Lis is 1811230113. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

The NPPES record for Kristy Lis was last updated on January 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 04, 2013

8626 AIRWAYS BLVD, SOUTHAVEN, MS 38671(662) 772-5937(662) 772-5940 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kristy Jo Lis Plpc NPPES

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

KRISTY JO LIS PLPC (NPI 1811230113) is an individual professional provider in Southaven, Mississippi and active in the NPI registry since April 2013.

NPI1811230113

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKRISTY JO LISCredential: PLPC

Location Address8626 AIRWAYS BLVDSouthaven, MS 38671-2603

Mailing Address8626 Airways BlvdSouthaven, MS 38671-2603 · (805) 294-3180 · Fax (662) 772-5940

Fax(662) 772-5940

Sole ProprietorNo

Enumeration DateApril 4, 2013

Last NPPES UpdateJanuary 19, 2022

NPPES CertifiedJanuary 19, 2022

✔ NPI 1811230113 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

8626 AIRWAYS BLVD, Southaven, MS 38671

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

Nurse Practitioner (Psychiatric/Mental Health)