Healthcare Provider Details
I. General information
NPI: 1780567388
Provider Name (Legal Business Name): LILYPAD COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2886 12 MILE RD
BERKLEY MI
48072-9900
US
IV. Provider business mailing address
PO BOX 725335
BERKLEY MI
48072-5335
US
V. Phone/Fax
- Phone: 623-738-4215
- Fax:
- Phone: 623-738-4215
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HANNAH
OSMANSKI
Title or Position: OWNER/THERAPIST
Credential: LPC
Phone: 623-738-4215