Provider Demographics
NPI:1144717679
Name:PRATT, LISA RENEE (LCMHC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:RENEE
Last Name:PRATT
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:CONZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-A, NCC
Mailing Address - Street 1:1240 HUFFMAN MILL RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8700
Mailing Address - Country:US
Mailing Address - Phone:336-586-3795
Mailing Address - Fax:336-586-3778
Practice Address - Street 1:1240 HUFFMAN MILL RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8700
Practice Address - Country:US
Practice Address - Phone:336-586-3795
Practice Address - Fax:336-586-3778
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13675101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health