Organization
LILES COUNSELING PROFESSIONAL LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES AYDEN LILES LPC (MANAGING MEMBER)
(254) 624-6755
Entity
Organization
Contact information
Practice address
1000 W STATE HIGHWAY 6, WOODWAY, TX 76712-3786
(254) 776-0001
Mailing address
10486 BURGESS RD, TEMPLE, TX 76501-7371
(254) 624-6755
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
63247
TX
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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