Individual
AMY LILAVOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
15 CHURCH STREET, VINEYARD HAVEN, MA 02568
(508) 693-5523
(508) 693-8619
Mailing address
PO BOX 764, OAK BLUFFS, MA 02557
(508) 693-5523
(508) 693-8619
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5068
MA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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