Provider Demographics
NPI:1811409428
Name:PALACHI, LILLIAN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:LILLIAN
Middle Name:
Last Name:PALACHI
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 1:11030 MARIN ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33156-4228
Mailing Address - Country:US
Mailing Address - Phone:305-666-3015
Mailing Address - Fax:
Practice Address - Street 1:7500 S RED RD STE B
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5329
Practice Address - Country:US
Practice Address - Phone:305-666-3015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-04
Last Update Date:2017-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8060101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health