Organization
LILLY COUNSELING AND CONSULTATION LLC
Active
Other names
9-1-1 Recovers LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE MARIE LILLY PH.D. (OWNER, PROVIDER)
(734) 274-0870
Entity
Organization
Contact information
Practice address
2S504 ASHLEY DR, GLEN ELLYN, IL 60137
(734) 274-0870
Mailing address
2S504 ASHLEY DR, GLEN ELLYN, IL 60137
(734) 274-0870
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071.007793
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
10/23/2018
Last updated
02/18/2022
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