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General NPI Number Information
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NPI Number | 1104965912
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Entity Type | Individual
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Provider Name | LILYVETTE PEREZ LMHC,LPC,NCC,BC-TMH
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 3310 OAKWELL CT APT 18304
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City | SAN ANTONIO
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State | TX
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Zip | 78218-3984
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Country | US
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Telephone | 210-867-4493
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Fax |
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Provider Business Mailing Address
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Address Line | 2186 JACKSON KELLER RD STE 2280
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City | SAN ANTONIO
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State | TX
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Zip | 78213-2723
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Country | US
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Telephone | 774-231-8056
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7005
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 90269
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5924
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License Number State | CT
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