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General NPI Number Information
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NPI Number | 1205701810
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Entity Type | Organization
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Legal Business Name | LILYBLOOM FAMILY COUNSELLING CENTER INC
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 13742 ASPEN LEAF LN
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City | EASTVALE
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State | CA
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Zip | 92880-0720
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Country | US
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Telephone | 310-874-2798
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Fax |
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Provider Business Mailing Address
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Address Line | 8939 FOOTHILL BLVD STE 130
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-6574
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Country | US
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Telephone | 310-874-2798
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | LIHLE ADEYEMI
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Credential | LMFT
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Telephone | 310-874-2798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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