Provider Demographics
NPI:1104965912
Name:PEREZ, LILYVETTE (LMHC,LPC,NCC,BC-TMH)
Entity type:Individual
Prefix:MS
First Name:LILYVETTE
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:LMHC,LPC,NCC,BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2186 JACKSON KELLER RD STE 2280
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-2723
Mailing Address - Country:US
Mailing Address - Phone:774-231-8056
Mailing Address - Fax:
Practice Address - Street 1:3310 OAKWELL CT APT 18304
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-3984
Practice Address - Country:US
Practice Address - Phone:210-867-4493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7005101YM0800X
TX90269101YP2500X
CT5924101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional