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Dr. Kelly Dawn Lill, PHD,LMHC
Counselor in Eustis, Florida
NPI 1215953096

Kelly Dawn Lill is a Counselor based in Astatula, FL. Kelly Dawn Lill practices in Eustis, FL and has the professional credentials of PHD,LMHC. The NPI Number for Kelly Dawn Lill is 1215953096 and holds a License No. MH 7165 (Florida).

The current practice location address for Kelly Dawn Lill is 2000 Prevatt St, Eustis, FL and can be reached out via phone at 352-589-0622 and via fax at 352-589-0276.

Location: 2000 Prevatt St, Eustis, FL, 34705-9393
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215953096
Provider Name
Kelly Dawn Lill
Credential
PHD,LMHC
Provider Entity Type
Individual
Gender
Female
Address
2000 Prevatt St, Eustis, FL, 34705-9393
Phone Number
352-589-0622
Fax Number
352-589-0276
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
767316700 05 FL
institution
Provider Business Practice Location Address Details
Address
2000 Prevatt St
City
Eustis
State
Florida
Zip
32726-6149
Phone Number
352-589-0622
Fax Number
352-589-0276
person
Provider Business Mailing Address Details
Address
2000 Prevatt St
City
Eustis
State
Florida
Zip
32726-6149
Phone Number
352-589-0622
Fax Number
352-589-0276
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
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Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH 7165 (Florida)
Definition
Definition to come...
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