Lillac Counseling Services, LLC

NPI #1952036824 in Wasilla, Alaska

Provider Information

NPI Number: 1952036824
Entity Type: Organization
Organization Name: Lillac Counseling Services, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 23, 2022
Last Updated: May 13, 2023

Practice Location

Address: 3130 W DISCOVERY LOOP
City: Wasilla
State: Alaska
ZIP Code: 99654-1283
Phone: (907) 866-2108

Authorized Official

Name: VICTORIA MILLER
Title: REGISTERED AGENT
Phone: (251) 315-3474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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