Provider Demographics
NPI:1265096473
Name:MCCRANIE, LILLIAN KELLY (LPC)
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:KELLY
Last Name:MCCRANIE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LILLIAN
Other - Middle Name:KELLY
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 25261
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-8004
Mailing Address - Country:US
Mailing Address - Phone:901-896-7818
Mailing Address - Fax:
Practice Address - Street 1:4421 KNIGHT ARNOLD RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-2952
Practice Address - Country:US
Practice Address - Phone:901-896-7818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000254589101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool