Organization
LILAC COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA DENISE SHISSLER LMHC (OWNER)
(509) 808-6151
Entity
Organization
Contact information
Practice address
3508 E 31ST AVE, SPOKANE, WA 99223-3707
(509) 808-6151
Mailing address
PO BOX 30611, SPOKANE, WA 99223-3010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHC.LH.60362453
WA
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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