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

Lisa Dianne Ball, PROVISIONALLPC

Individual provider Mental Health Counselor · NPI 1679284939

Lisa Dianne Ball, PROVISIONALLPC is a Mental Health Counselor in Bridgeport, West Virginia. Licensed in West Virginia. Registered with an NPI since 2022.

Licensed in
WV
In the registry since
2022

Practice location Address checks out

120 Professional Pl
Bridgeport, WV 26330-4599
Phone: (304) 460-5123
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 772 (WV)

Record details

NPI number1679284939
Entity typeIndividual (Type 1)
GenderFemale
Credentials PROVISIONALLPC
Sole proprietorNo
NPI enumeratedDecember 7, 2022
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023

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