Amy Lilavois, LMHC

Individual provider Active NPI Mental Health Counselor · Vineyard Haven, MA

NPI 1609933712 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609933712
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
5068 (MA)
Practice address
15 Church Street
Vineyard Haven, MA 02568
Phone
(508) 693-5523
Fax
(508) 693-8619
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5068 MA Yes

Addresses

Primary practice location

15 Church Street
Vineyard Haven, MA 02568

Mailing address

PO Box 764
Oak Bluffs, MA 02557
Phone (508) 693-5523

Other providers in Vineyard Haven, MA

All providers in Vineyard Haven, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.