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NPI Code Detail

MEDICARE: JULIA LILLY

MEDICARE:   JULIA  LILLY
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1578496527
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA LILLY
Provider Business Mailing Address
First Line : 744 4TH AVE STE 2
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-1541
Country : US
Telephone Number : 304-691-0873
Fax Number : 304-955-9057
Provider Business Practice Location Address
First Line : 744 4TH AVE STE 2
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-1541
Country : US
Telephone Number : 304-691-0873
Fax Number : 304-955-9057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ JULIA LILLY ” Practice Location

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