Lillian Mae, LLC

NPI #1700489176 in Shawnee, Oklahoma

Provider Information

NPI Number: 1700489176
Entity Type: Organization
Organization Name: Lillian Mae, LLC
Primary Specialty: Counselor
Enumeration Date: Nov 18, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 44038 45TH ST
City: Shawnee
State: Oklahoma
ZIP Code: 74804-9683
Phone: (405) 219-0030

Authorized Official

Name: AMY A. JENNINGS, M.S., LPC
Title: LICENSED PROFESSIONAL COUNSELOR
Phone: (405) 219-0030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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