MEDICARE: LILLIAN RICARDO

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1396676706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILLIAN RICARDO

Provider Business Mailing Address
First Line	:	1400 NORTH FRANKLIN STREET
Second Line	:	STE 100
City	:	WILMINGTON
State	:	DE
Zip	:	19806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 NORTH FRANKLIN STREET
Second Line	:	STE 100
City	:	WILMINGTON
State	:	DE
Zip	:	19806
Country	:	US
Telephone Number	:	484-606-0656
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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Directions to “ LILLIAN RICARDO ” Practice Location

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