MEDICARE: MRS. LILLIAN M SYLVESTER LCPC

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	LC3728	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477854610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LILLIAN M SYLVESTER LCPC

Provider Business Mailing Address
First Line	:	PO BOX 1381
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20768-1381
Country	:	US
Telephone Number	:	301-313-0159
Fax Number	:	301-313-0159

Provider Business Practice Location Address
First Line	:	7935 BELLE POINT DR
Second Line	:	MOSAIC EXPRESSIVE ARTS THERAPIES
City	:	GREENBELT
State	:	MD
Zip	:	20770-3329
Country	:	US
Telephone Number	:	301-313-0159
Fax Number	:	301-313-0159

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

Provider Enumeration Date	:	11/04/2010
Last Update Date	:	10/29/2011

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