Provider Demographics
NPI:1043585441
Name:FURMAN, LISA R (ATR-BC, LCPC)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:R
Last Name:FURMAN
Suffix:
Gender:
Credentials:ATR-BC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 CLARK POINT RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04669-7002
Mailing Address - Country:US
Mailing Address - Phone:203-241-0237
Mailing Address - Fax:
Practice Address - Street 1:66 STONE ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5227
Practice Address - Country:US
Practice Address - Phone:207-626-3455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-19
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002162101YM0800X
MECC7358101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health