Provider Demographics
NPI:1114947728
Name:PARISH, LILI A (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LILI
Middle Name:A
Last Name:PARISH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 21ST STREET NW #84
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881
Mailing Address - Country:US
Mailing Address - Phone:863-294-8119
Mailing Address - Fax:863-293-2755
Practice Address - Street 1:141 E CENTRAL AVE
Practice Address - Street 2:SUITE 240-A
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-6323
Practice Address - Country:US
Practice Address - Phone:863-206-9428
Practice Address - Fax:863-293-2755
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7935101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health