Individual
MRS. LILA MAE PRIDE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
4625 BECKLEY RD, BLDG 100, BATTLE CREEK, MI 49015-7948
(269) 979-8490
(269) 979-8492
Mailing address
8883 TAMARISK CIR, RICHLAND, MI 49083-8607
(269) 629-4443
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6801084422
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80-0-89-7411-0
BCBS PIN
MI
Enumeration date
05/12/2006
Last updated
07/08/2007
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