Healthcare Provider Details
I. General information
NPI: 1700796000
Provider Name (Legal Business Name): LILLIAN QUINT PPS, MA.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/09/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
34257 KALANCHOE RD
LAKE ELSINORE CA
92532-2996
US
IV. Provider business mailing address
34257 KALANCHOE RD
LAKE ELSINORE CA
92532-2996
US
V. Phone/Fax
- Phone: 951-244-7657
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YS0200X |
| Taxonomy | School Counselor |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: