Healthcare Provider Details

I. General information

NPI: 1992650444
Provider Name (Legal Business Name): LILY MARIE MCFARLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 LONGLEAF LN
PENDLETON SC
29670-9629
US

IV. Provider business mailing address

128 LONGLEAF LN
PENDLETON SC
29670-9629
US

V. Phone/Fax

Practice location:
  • Phone: 334-201-6863
  • Fax:
Mailing address:
  • Phone: 334-201-6863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: