Healthcare Provider Details

I. General information

NPI: 1710807946
Provider Name (Legal Business Name): LILY WHITT
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: LILY SPAETH

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 111511
NASHVILLE TN
37222-1511
US

IV. Provider business mailing address

616 POPLAR CREEK TRACE CT
NASHVILLE TN
37221-3973
US

V. Phone/Fax

Practice location:
  • Phone: 615-447-8054
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: