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Organization
WATER LILY HOLISTIC SERVICES
Active
Organization
WATER LILY HOLISTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA MIRASOLO LPCC (THERAPIST/OWNER)
(339) 222-8101
Entity
Organization
Contact information
Practice address
2801 JEFFERSON ST APT 49, PADUCAH, KY 42001-4162
(339) 222-8101
Mailing address
2801 JEFFERSON ST APT 49, PADUCAH, KY 42001-4162
(339) 222-8101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
01/15/2026
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