Lilly, Susan Lea

Lilly, Susan Lea is an sole proprietor health care provider with primary practice located at 3303 67Th St Ste 112 , Lubbock TX 79413-6132. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Lilly, Susan Lea can be contacted via phone (806) 549-1474.

Contact Information

Primary practice address
3303 67Th St Ste 112 Lubbock TX 79413-6132
Phone: (806) 549-1474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12373 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 12373 Texas

Profile Details

NPI number 1699817809
LBN Legal business name Lilly, Susan Lea
Credentials PHD, LPC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Apr 11th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699817809 NPPES
Texas Other 2601LC BCBS

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