Organization
LILLAC COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA MILLER (REGISTERED AGENT)
(251) 315-3474
Entity
Organization
Contact information
Practice address
3130 W DISCOVERY LOOP, WASILLA, AK 99654-1283
(907) 866-2108
Mailing address
PO BOX 874252, WASILLA, AK 99687-4252
(866) 210-8282
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/23/2022
Last updated
05/13/2023
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