Lilyco Services, Llc

LBN: Lilyco Services, Llc
Lilyco Services, Llc is an health care organization with primary practice located at 112 W Winder St , Henderson NC 27536-4239. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Lilyco Services, Llc can be contacted via phone (919) 395-8032, or through Oxendine, Yolando via phone (919) 395-8032.

Contact Information

Primary practice address
112 W Winder St Henderson NC 27536-4239
Phone: (919) 395-8032
Fax: (919) 395-8032
Website:
Map and Directions
Authorized official contact:
Name: Oxendine, Yolando
Phone: (919) 395-8032

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1215459839
LBN Legal business name Lilyco Services, Llc
DBA Doing business as
Authorized official Oxendine, Yolando
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2017
Last updated Jul 14th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215459839 NPPES
North Carolina MEDICAID 1588641880
North Carolina MEDICAID 1861730095

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