| Lilac Therapy Center Llc | |
|
748 N Bethlehem Pike Ste 104 Ambler PA 19002-2652 | |
| (610) 763-1651 | |
| Not Available |
| Full Name | Lilac Therapy Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 748 N Bethlehem Pike Ste 104, Ambler, Pennsylvania |
| Authorized Official Name and Position | Kristen Malora (PSYCHOLOGIST) |
| Authorized Official Contact | 6107631651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilac Therapy Center Llc 748 N Bethlehem Pike Ste 104 Ambler PA 19002-2652 Ph: (610) 763-1651 | Lilac Therapy Center Llc 748 N Bethlehem Pike Ste 104 Ambler PA 19002-2652 Ph: (610) 763-1651 |
| NPI Number | 1659006385 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659006385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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