Provider Demographics
NPI:1871592428
Name:PRIEST, LILLIAN MANCINI (MA LPC-S, RPT)
Entity type:Individual
Prefix:MRS
First Name:LILLIAN
Middle Name:MANCINI
Last Name:PRIEST
Suffix:
Gender:F
Credentials:MA LPC-S, RPT
Other - Prefix:MRS
Other - First Name:LILLIAN
Other - Middle Name:MANCINI
Other - Last Name:VERNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:500 MASON ST
Mailing Address - Street 2:COUNSELING RESOURCE CENTER
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4450
Mailing Address - Country:US
Mailing Address - Phone:281-255-9922
Mailing Address - Fax:281-255-9064
Practice Address - Street 1:500 MASON ST
Practice Address - Street 2:COUNSELING RESOURCE CENTER
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4450
Practice Address - Country:US
Practice Address - Phone:281-255-9922
Practice Address - Fax:281-255-9064
Is Sole Proprietor?:No
Enumeration Date:2005-07-16
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19192101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11477756OtherCAQH