Lilac Therapy Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LILAC THERAPY CENTER LLC

Practice address

748 N Bethlehem Pike Ste 104
Ambler, PA 19002-2652

Phone

(610) 763-1651

NPI assigned

Jul 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristen Malora, PSYDNPI 1376977827

Title

Psychologist

Phone

(610) 763-1651

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Malora, PSY.D.

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1376977827
  NPD Authorized official
• Laura E Wall, LSW

  • Social Worker
  • Ambler, PA
  • NPI 1689433021
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1659006385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 N BETHLEHEM PIKE STE 104",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022652",
            "telephone_number": "610-763-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 N BETHLEHEM PIKE STE 104",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022652",
            "telephone_number": "610-763-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "MALORA",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-763-1651",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Lentini, MA CCC/SLP
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• Xinwei Li, RPH
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• Louis B. Lipschutz, M.D.
• Susan J Littman, MD
• Angela A Lorenzetti, CRNP
• Lotus Counseling & Wellness
• Louis B. Lipschutz,M.D.,PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ambler, PA
• Providers in Ambler, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.