MRS. STACEY CUSTER LILLEY L.P.C.
NPI 1447345749
Counselor - Professional in Roanoke, VA
Active since October 03, 2006
2965 COLONNADE DR SUITE 100, BRALEY & THOMPSON, INC., ROANOKE, VA 24018(540) 989-1703(540) 989-1705 Get Directions Write a Review
About Mrs. Stacey Custer Lilley L.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACEY CUSTER LILLEY L.P.C. (NPI 1447345749) is an individual professional provider in Roanoke, Virginia, licensed in Virginia (0701004040) and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1447345749
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. STACEY CUSTER LILLEYCredential: L.P.C.
Location Address2965 COLONNADE DR SUITE 100, BRALEY & THOMPSON, INC.Roanoke, VA 24018
Mailing Address6121 St. Ives CourtRoanoke, VA 24018 · (540) 400-6898
Phone(540) 989-1703
Fax(540) 989-1705
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447345749 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701004040
2965 COLONNADE DR SUITE 100, Roanoke, VA 24018
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447345749, enumerated as an "individual" on October 03, 2006.
The provider is located at 2965 COLONNADE DR SUITE 100 BRALEY & THOMPSON, INC. ROANOKE, VA 24018 and the phone number is (540) 989-1703.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
