Provider Demographics
NPI:1205964442
Name:LOEFFEL, LISA FRANCES (MS NCC, LPC)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:FRANCES
Last Name:LOEFFEL
Suffix:
Gender:F
Credentials:MS NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7518 DUVALL CT.
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411
Mailing Address - Country:US
Mailing Address - Phone:901-487-3747
Mailing Address - Fax:901-487-3757
Practice Address - Street 1:7518 DUVAL CT
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-7270
Practice Address - Country:US
Practice Address - Phone:901-487-3757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2011-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7426101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health