Provider Demographics
NPI:1184232001
Name:CORTES, LILLIE (MC, LPC, CSAT)
Entity Type:Individual
Prefix:
First Name:LILLIE
Middle Name:
Last Name:CORTES
Suffix:
Gender:F
Credentials:MC, LPC, CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14300 N NORTHSIGHT BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3673
Mailing Address - Country:US
Mailing Address - Phone:602-550-0175
Mailing Address - Fax:480-590-8942
Practice Address - Street 1:14300 N NORTHSIGHT BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3673
Practice Address - Country:US
Practice Address - Phone:602-550-0175
Practice Address - Fax:480-590-8942
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-16
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-18002101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health