Doctor Name: | MRS. KIMBERLY BROWN LILLY |
NPI Number: | 1245430271 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, NCC, LPC |
License Number: | 6440 |
Business Practice Address: | 8181 Mcclanahan Dr Browns Summit, NC - 272149813 |
Business Phone Number: | 3365096980 |
Business Fax Number: | |
Mailing Address: | 8181 Mcclanahan Dr, BROWNS SUMMIT |
State: | NC |
Postal Code: | 272149813 |
Phone Number: | 3365096980 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2007 |
NPI Last Update Date: | 05/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6440 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |