Provider Demographics
NPI:1396530143
Name:LILY CENTER, LLC
Entity type:Organization
Organization Name:LILY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CALICO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:615-212-8748
Mailing Address - Street 1:PO BOX 3251
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-3251
Mailing Address - Country:US
Mailing Address - Phone:615-212-8748
Mailing Address - Fax:
Practice Address - Street 1:303 HOLLY CIR UNIT 3251
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-6093
Practice Address - Country:US
Practice Address - Phone:615-212-8748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty