Organization
LILLIAN'S REST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEORA WILLIAMS MFT (COO)
(916) 216-6968
Entity
Organization
Contact information
Practice address
85 E GAY ST, COLUMBUS, OH 43215-3118
(916) 216-6968
Mailing address
994 JEFFERSON CHASE WAY, BLACKLICK, OH 43004-9160
(614) 570-3462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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