Organization
GLACIER LILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM MIRAHMADI LPC (MEMBER/OWNER)
(541) 834-9068
Entity
Organization
Contact information
Practice address
431 NW FRANKLIN AVE STE 200, BEND, OR 97703-2827
(541) 834-9068
Mailing address
431 NW FRANKLIN AVE STE 200, BEND, OR 97703-2827
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
11/04/2025
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