Provider Demographics
NPI:1932810173
Name:TENENBOWN, LILA (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LILA
Middle Name:
Last Name:TENENBOWN
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 YAUPON VALLEY RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-4331
Mailing Address - Country:US
Mailing Address - Phone:512-567-6375
Mailing Address - Fax:
Practice Address - Street 1:3355 BEE CAVES RD STE 403
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6668
Practice Address - Country:US
Practice Address - Phone:512-521-0868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1042984363LP0808X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse