MEDICARE: LILY OF PEACE COUNSELING, PLLC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1437046521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LILY OF PEACE COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	10010 SAN PEDRO AVE STE 520-H
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-3862
Country	:	US
Telephone Number	:	210-444-9544
Fax Number	:

Provider Business Practice Location Address
First Line	:	10010 SAN PEDRO AVE STE 520-H
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-3862
Country	:	US
Telephone Number	:	210-444-9544
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VALERIE TORREZ KOZLOVSKY
Credential	:	M.A., LPC
Telephone Number	:	210-444-9544

Provider Enumeration Date	:	06/20/2025
Last Update Date	:	06/20/2025

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