Provider Demographics
NPI:1922284710
Name:MITCHELL, LILIA ELVIR (LPC-S, DPC)
Entity Type:Individual
Prefix:DR
First Name:LILIA
Middle Name:ELVIR
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LPC-S, DPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5616 FM 1960 RD E
Mailing Address - Street 2:SUITE 216
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2739
Mailing Address - Country:US
Mailing Address - Phone:281-323-1494
Mailing Address - Fax:281-446-5727
Practice Address - Street 1:5616 FM 1960 RD. E.
Practice Address - Street 2:STE. 216
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346
Practice Address - Country:US
Practice Address - Phone:281-323-1494
Practice Address - Fax:281-446-5727
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62908101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX199813001Medicaid