Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristy Jo Lis, PLPC

Individual provider Professional Counselor · NPI 1811230113

Kristy Jo Lis, PLPC is a Professional Counselor in Southaven, Mississippi. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

8626 Airways Blvd
Southaven, MS 38671-2603
Phone: (662) 772-5937
Fax: (662) 772-5940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1811230113
Entity typeIndividual (Type 1)
GenderFemale
Credentials PLPC
Sole proprietorNo
NPI enumeratedApril 4, 2013
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022

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