| Lilian Childress Lcmhc Pllc | |
|
36 Clayton St Asheville NC 28801-2424 | |
| (828) 424-9781 | |
| Not Available |
| Full Name | Lilian Childress Lcmhc Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 36 Clayton St, Asheville, North Carolina |
| Authorized Official Name and Position | Lilian Childress (OWNER) |
| Authorized Official Contact | 8284249781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilian Childress Lcmhc Pllc 36 Clayton St Asheville NC 28801-2424 Ph: (828) 424-9781 | Lilian Childress Lcmhc Pllc 36 Clayton St Asheville NC 28801-2424 Ph: (828) 424-9781 |
| NPI Number | 1699529867 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Medicare PECOS PAC ID | 5597298356 |
|---|---|
| Medicare Enrollment ID | O20241031002920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699529867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lilian Childress |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245633312 PECOS PAC ID: 6406389261 Enrollment ID: I20241031003031 |
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