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General NPI Number Information
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NPI Number | 1497568026
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Entity Type | Organization
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Legal Business Name | LILY WELLNESS THERAPY, PLLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 5510 OLD HICKORY BLVD
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City | HERMITAGE
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State | TN
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Zip | 37076-2585
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Country | US
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Telephone | 615-241-6234
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Fax |
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Provider Business Mailing Address
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Address Line | 5510 OLD HICKORY BLVD STE B
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City | HERMITAGE
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State | TN
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Zip | 37076-2586
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Country | US
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Telephone | 615-241-6234
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST/DIRECTOR
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Name | BRIANNA S. MAGEE
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Credential | LPC-MHSP
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Telephone | 615-241-6234
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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 |
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License Number State |
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