Lisa Marie Mackillop, PsyD, MA, LPC
Counselor, Professional in Lancaster, PA. Individual provider (NPI-1).
NPI number1194367706
StatusActive
Last updated in NPPESJan 7, 2026
Details
- NPI
- 1194367706
- Entity type
- Individual (NPI-1)
- Name
- Lisa Marie Mackillop
- Credential
- PsyD, MA, LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2019
- Certification date
- Jan 7, 2026
- Last updated
- Jan 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | PC011850 | PA | Yes |
| 101YM0800X | Counselor, Mental Health | PC011850 | PA |
Practice location
1891 Santa Barbara Dr Ste 102Lancaster, PA 17601-4106
Phone 717-936-9758 · Fax 717-618-6730
Mailing address
1891 Santa Barbara Dr Ste 102Lancaster, PA 17601-4106
Phone 717-850-3558
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