Provider Demographics
NPI:1497183081
Name:CUNNINGHAM, LILY J (LPCC)
Entity Type:Individual
Prefix:
First Name:LILY
Middle Name:J
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:LILY
Other - Middle Name:
Other - Last Name:NAYAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 3551
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-0275
Mailing Address - Country:US
Mailing Address - Phone:614-698-8353
Mailing Address - Fax:
Practice Address - Street 1:5986 ABBEY CHURCH RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-2541
Practice Address - Country:US
Practice Address - Phone:614-698-8353
Practice Address - Fax:833-341-1414
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-17
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1700313101YP2500X
OHC.1200067-CR101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional