LILYS PLACE FAMILY CENTER NPI 1689288813

NPI Information

NPI: 1689288813
Provider Name: LILYS PLACE FAMILY CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1235 6TH AVE
HUNTINGTON, WV
ZIP 25701
Phone: (304) 523-5459
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LILYS PLACE FAMILY CENTER is a mental health (including community mental health center) clinic center in Huntington, WV. LILYS PLACE FAMILY CENTER NPI is 1689288813. The provider is registered as an organization entity type.

The provider's business location address is:

1235 6TH AVE
HUNTINGTON, WV
ZIP 25701-904
Phone: (304) 523-5459
Fax: (304) 523-8341

The provider's authorized official is Rebecca Dawn Crowder .
The authorized official title is Executive Director and has the following contact phone number (304) 523-5459.

The enumeration date for this NPI number is 9/4/2020 and was last updated on 10/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3910005949	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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