| Lilac Counseling Services, Llc | |
|
3508 E 31st Ave Spokane WA 99223-3707 | |
| (509) 808-6151 | |
| Not Available |
| Full Name | Lilac Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3508 E 31st Ave, Spokane, Washington |
| Authorized Official Name and Position | Theresa Denise Shissler (OWNER) |
| Authorized Official Contact | 5098086151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilac Counseling Services, Llc Po Box 30611 Spokane WA 99223-3010 Ph: () - | Lilac Counseling Services, Llc 3508 E 31st Ave Spokane WA 99223-3707 Ph: (509) 808-6151 |
| NPI Number | 1689062366 |
|---|---|
| Provider Enumeration Date | 01/02/2015 |
| Last Update Date | 01/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689062366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHC.LH.60362453 (Washington) | Primary |
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