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NPI Code Detail

MEDICARE: LILIAN COLOSSA

MEDICARE: LILIAN COLOSSA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1285597559
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIAN COLOSSA
Provider Business Mailing Address
First Line : 101 SPADE LEAF BLVD APT 813
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-3799
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 IMPERIAL BLVD STE E
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-3400
Country : US
Telephone Number : 615-560-6622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “ LILIAN COLOSSA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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