Provider Demographics
NPI:1003133992
Name:BOLLERS, LILIAN INUTU (LCSW-C, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:LILIAN
Middle Name:INUTU
Last Name:BOLLERS
Suffix:
Gender:F
Credentials:LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 CHASE OAKS BLVD APT 128
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-5909
Mailing Address - Country:US
Mailing Address - Phone:240-631-8387
Mailing Address - Fax:240-631-2330
Practice Address - Street 1:7101 CHASE OAKS BLVD 128
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-5909
Practice Address - Country:US
Practice Address - Phone:240-731-0457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD155291041C0700X
DCLC500786191041C0700X
TX569621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical