Provider Demographics
NPI:1366253254
Name:CARDINAL & LILY COUNSELING, LLC
Entity type:Organization
Organization Name:CARDINAL & LILY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALC, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAXSON
Authorized Official - Suffix:
Authorized Official - Credentials:ALC
Authorized Official - Phone:256-203-6691
Mailing Address - Street 1:201 BAYLES ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:AL
Mailing Address - Zip Code:35610-3765
Mailing Address - Country:US
Mailing Address - Phone:256-203-6691
Mailing Address - Fax:
Practice Address - Street 1:201 BAYLES ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:AL
Practice Address - Zip Code:35610-3765
Practice Address - Country:US
Practice Address - Phone:256-203-6691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)