Individual ProviderLisa Dean KingCounselorBehavioral Health & Social Service ProvidersPractice Address4 Cornerstone Dr, Langhorne, PA 19047-1314(215) 757-6916(717) 503-7645PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Dean King does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1396589735Provider TypeIndividualFull NameKing, Lisa DeanTitleMs.GenderFemaleSole ProprietorYesEnumeration Date6/20/2024Last Updated6/20/2024Contact InformationPractice LocationPractice Address4 Cornerstone Dr, Langhorne, PA 19047-1314Phone(215) 757-6916FaxUnlisted FaxMailing LocationMailing Address80 Carlton Ave, Ewing, NJ 08618-1420Phone(717) 503-7645FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer