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MS. LISA A FAIRES M.ED. LCPC,LMHC
NPI 1891022919
Counselor - Mental Health in Merritt Island, FL

Active since November 10, 2009
1380 PHYLLIS DR, MERRITT ISLAND, FL 32952(207) 233-1350 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Lisa A Faires M.ed. Lcpc,lmhc NPPES

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

MS. LISA A FAIRES M.ED. LCPC,LMHC (NPI 1891022919) is an individual mental health provider in Merritt Island, Florida, licensed in Florida (MH 13040) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1891022919
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LISA A FAIRESCredential: M.ED. LCPC,LMHC
Location Address1380 PHYLLIS DRMerritt Island, FL 32952-5841
Mailing Address1380 Phyllis DrMerritt Island, FL 32952-5841 · (207) 233-1350
Phone(207) 233-1350
Sole ProprietorYes
Enumeration DateNovember 10, 2009
Last NPPES UpdateFebruary 27, 2015
✔ NPI 1891022919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH 13040
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CC3775 (ME)
1380 PHYLLIS DR, Merritt Island, FL 32952
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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 Faires's NPI number?

The NPI number for Lisa Faires is 1891022919. It was assigned to this individual provider in the NPPES registry on November 10, 2009.

Where is Lisa Faires located?

Lisa Faires practices at 1380 Phyllis Dr, Merritt Island, FL 32952. The listed phone number is (207) 233-1350.

What is Lisa Faires's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lisa Faires was last updated on February 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.