Provider Demographics
NPI:1063501492
Name:GELDMEIER, LILIAN DOLORES (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:LILIAN
Middle Name:DOLORES
Last Name:GELDMEIER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 REGAL DR SW
Mailing Address - Street 2:SUITE J
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5603
Mailing Address - Country:US
Mailing Address - Phone:256-534-6556
Mailing Address - Fax:256-533-3344
Practice Address - Street 1:810 REGAL DR SW
Practice Address - Street 2:SUITE J
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5603
Practice Address - Country:US
Practice Address - Phone:256-534-6556
Practice Address - Fax:256-533-3344
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1664101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health