Provider Demographics
NPI:1326004326
Name:SOMERLOT, LISA ADAMS (LPC)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:ADAMS
Last Name:SOMERLOT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:DR
Other - First Name:LISA
Other - Middle Name:G
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4505 HARDING PIKE APT 63W
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2195
Mailing Address - Country:US
Mailing Address - Phone:984-327-1803
Mailing Address - Fax:
Practice Address - Street 1:4505 HARDING PIKE APT 63W
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2195
Practice Address - Country:US
Practice Address - Phone:984-327-1803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003906101YM0800X
NC17698101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA121295900AMedicaid