Provider Demographics
NPI:1588986855
Name:ESLINGER, LILA M (PHD; LMFT)
Entity type:Individual
Prefix:MS
First Name:LILA
Middle Name:M
Last Name:ESLINGER
Suffix:
Gender:F
Credentials:PHD; LMFT
Other - Prefix:MRS
Other - First Name:LILA
Other - Middle Name:MARIE
Other - Last Name:SUMPTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFTINTERN
Mailing Address - Street 1:242 I ST STE 2
Mailing Address - Street 2:
Mailing Address - City:LOS BANOS
Mailing Address - State:CA
Mailing Address - Zip Code:93635-4125
Mailing Address - Country:US
Mailing Address - Phone:209-993-4995
Mailing Address - Fax:
Practice Address - Street 1:480 E 13TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95341-6214
Practice Address - Country:US
Practice Address - Phone:209-993-4995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
CA52737106H00000X
CA103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA106H00000XOtherBEHAVIORAL HEALTH MARRIAGE AND FAMILY THERAPISTS