Provider Demographics
NPI:1942934757
Name:LILA I VALDEZ MA LCMHC
Entity Type:Organization
Organization Name:LILA I VALDEZ MA LCMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LILA
Authorized Official - Middle Name:IVANOFF
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:603-966-8423
Mailing Address - Street 1:9 THISTLE CT
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-3433
Mailing Address - Country:US
Mailing Address - Phone:603-966-8423
Mailing Address - Fax:
Practice Address - Street 1:301 DANIEL WEBSTER HWY STE 4
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4482
Practice Address - Country:US
Practice Address - Phone:603-966-8423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-16
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty