Individual
ERIN MISSY LILLY
Active
Individual
ERIN MISSY LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
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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