Provider Demographics
NPI:1497568026
Name:LILY WELLNESS THERAPY, PLLC
Entity type:Organization
Organization Name:LILY WELLNESS THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP
Authorized Official - Phone:615-241-6234
Mailing Address - Street 1:5510 OLD HICKORY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2586
Mailing Address - Country:US
Mailing Address - Phone:615-241-6234
Mailing Address - Fax:
Practice Address - Street 1:5510 OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2585
Practice Address - Country:US
Practice Address - Phone:615-241-6234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty