Healthcare Provider Details

I. General information

NPI: 1861047458
Provider Name (Legal Business Name): LILLIAN A OKUMU MHC-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2019
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 SUTTERVILLE RD
SACRAMENTO CA
95820-1093
US

IV. Provider business mailing address

1200 SPRUCE TREE CIR
SACRAMENTO CA
95831-3925
US

V. Phone/Fax

Practice location:
  • Phone: 916-452-3981
  • Fax: 916-454-5031
Mailing address:
  • Phone: 315-863-4824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPCC7564
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: