Provider Demographics
NPI:1033826342
Name:WITTPENN, LISA ANN (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:ANN
Last Name:WITTPENN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 STARBOARD DR
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-3463
Mailing Address - Country:US
Mailing Address - Phone:817-846-8949
Mailing Address - Fax:
Practice Address - Street 1:409 STARBOARD DR
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-3463
Practice Address - Country:US
Practice Address - Phone:817-846-8949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-04
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health