Provider Demographics
NPI:1972693026
Name:MYERS, LILLIAN ELIZABETH (LCMHC)
Entity Type:Individual
Prefix:
First Name:LILLIAN
Middle Name:ELIZABETH
Last Name:MYERS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:LILY
Other - Middle Name:
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMHC
Mailing Address - Street 1:13 CASALIS RD
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1917
Mailing Address - Country:US
Mailing Address - Phone:603-924-9463
Mailing Address - Fax:
Practice Address - Street 1:17 93RD ST.
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03462
Practice Address - Country:US
Practice Address - Phone:603-283-1577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH365101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health