| Lilly Counseling And Consultation Llc | |
|
2s504 Ashley Dr Glen Ellyn IL 60137 | |
| (734) 274-0870 | |
| Not Available |
| Full Name | Lilly Counseling And Consultation Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2s504 Ashley Dr, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Michelle Marie Lilly (OWNER, PROVIDER) |
| Authorized Official Contact | 7342740870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilly Counseling And Consultation Llc 2s504 Ashley Dr Glen Ellyn IL 60137 Ph: (734) 274-0870 | Lilly Counseling And Consultation Llc 2s504 Ashley Dr Glen Ellyn IL 60137 Ph: (734) 274-0870 |
| NPI Number | 1598231961 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598231961 | NPI | - | NPPES |
| 071.007793 | Other | IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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