Individual
ERIN MISSY LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3321B CANDELARIA RD NE STE 407, ALBUQUERQUE, NM 87107-1971
(575) 525-8484
(505) 554-3435
Mailing address
PO BOX 2455, TIJERAS, NM 87059-2455
(575) 525-8484
(505) 554-3435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
X-09188
NM
1041C0700X
Clinical Social Worker
Primary
C-11312
NM
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02821575
—
NM
05
—
87439786
—
NM
Enumeration date
07/28/2015
Last updated
01/05/2022
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