Provider Demographics
NPI:1245417997
Name:ESCOBEDO, LILIA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LILIA
Middle Name:
Last Name:ESCOBEDO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74900 US HIGHWAY 111 STE 225
Mailing Address - Street 2:
Mailing Address - City:INDIAN WELLS
Mailing Address - State:CA
Mailing Address - Zip Code:92210-7108
Mailing Address - Country:US
Mailing Address - Phone:855-923-3967
Mailing Address - Fax:
Practice Address - Street 1:74900 US HIGHWAY 111 STE 225
Practice Address - Street 2:
Practice Address - City:INDIAN WELLS
Practice Address - State:CA
Practice Address - Zip Code:92210-7108
Practice Address - Country:US
Practice Address - Phone:855-923-3967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91936106H00000X
CA55694106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist