Healthcare Provider Details

I. General information

NPI: 1316769946
Provider Name (Legal Business Name): MS. LILLIAN DEUSCHLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LILA DEUSCHLE

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 PARK AVE APT 1C
NEW YORK NY
10128-1712
US

IV. Provider business mailing address

1 E PALISADES DR
LITTLE ROCK AR
72207-1903
US

V. Phone/Fax

Practice location:
  • Phone: 212-828-7473
  • Fax:
Mailing address:
  • Phone: 501-413-8656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: