Healthcare Provider Details

I. General information

NPI: 1346162336
Provider Name (Legal Business Name): LILLIAN E CORCORAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 FORT LEE RD
LEONIA NJ
07605-2229
US

IV. Provider business mailing address

0188 YERGER RD
FAIR LAWN NJ
07410-4652
US

V. Phone/Fax

Practice location:
  • Phone: 201-873-9027
  • Fax:
Mailing address:
  • Phone: 201-873-9027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00189300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: