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NPI Code Detail

MEDICARE: NESI LILLARD LPC-S

MEDICARE: NESI LILLARD LPC-S
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 Counselor64512TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
164512OTHERTXTEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS

General Provider Information

NPI Number : 1760804850
Entity Type Code : Individual
Provider Name (Legal Business Name) : NESI LILLARD LPC-S
Provider Business Mailing Address
First Line : 227 OAK LAWN ST
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-6704
Country : US
Telephone Number : 512-784-1574
Fax Number :
Provider Business Practice Location Address
First Line : 4119 MONTROSE BLVD STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77006-4970
Country : US
Telephone Number : 512-956-6463
Fax Number : 866-653-5142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2014
Last Update Date : 11/07/2025

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Directions to “ NESI LILLARD LPC-S” Practice Location

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