Provider Demographics
NPI:1548637671
Name:LILYPAD COUNSELING SERVICES
Entity type:Organization
Organization Name:LILYPAD COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPATARO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CAP
Authorized Official - Phone:561-713-8511
Mailing Address - Street 1:9589 VERONA LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-2759
Mailing Address - Country:US
Mailing Address - Phone:561-713-8511
Mailing Address - Fax:
Practice Address - Street 1:9589 VERONA LAKES BLVD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-2759
Practice Address - Country:US
Practice Address - Phone:561-713-8511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLADC0075712015261QR0401X, 320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)