Lillies Place 2

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LILLIES PLACE 2

Practice address

121 Hazel Dr
Burlington, NC 27217-8311

Phone

(336) 350-4866

NPI assigned

Mar 8, 2017

Organization subpart

No

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

Authorized official

Name

Cherry D Crisp

Title

Owner

Phone

(336) 350-4866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1851831937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HAZEL DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HAZEL DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178311",
            "telephone_number": "336-350-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIES PLACE 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "CHERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-350-4866"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifepath LLC
• Lifespan, Inc.
• Hannah Lifsey, PHARMD
• Light of Daye
• Lillie'S Place
• Tyvonder M. Lilly, MHSA, QP
• Angela S Lima, D.O
• Cheryl Paulette Lindley, FNP
• Elbisa Lindov, MA,LCMHC
• Margaret Dorothy Link, NP RN

• Adult Mental Health Clinic/Center in Burlington, NC
• Providers in Burlington, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.