Provider Demographics
NPI:1932486412
Name:LAM, LILY (LPC)
Entity Type:Individual
Prefix:
First Name:LILY
Middle Name:
Last Name:LAM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 SHORELINE DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1679
Mailing Address - Country:US
Mailing Address - Phone:281-499-9437
Mailing Address - Fax:
Practice Address - Street 1:14811 SAINT MARYS LN
Practice Address - Street 2:SUITE 288
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2916
Practice Address - Country:US
Practice Address - Phone:832-377-5732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9338101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional