Lilly, Jacqueline Alexandra
Lilly, Jacqueline Alexandra is an sole proprietor health care provider with primary practice located at 700 Churchill Ct Ste 110 , Woodstock GA 30188-6880. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lilly, Jacqueline Alexandra can be contacted via phone (770) 284-9092.Contact Information
Primary practice address
700 Churchill Ct Ste 110
Woodstock GA 30188-6880
Phone: (770) 284-9092
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1205479490 |
|---|---|
| LBN Legal business name | Lilly, Jacqueline Alexandra |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2019 |
| Last updated | Oct 21st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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