Individual provider · Type 1 NPI

Lillie Matlock

Pastoral Counselor · Memphis, TN

NPI number 1790170140 Active

Practice location

315 Dr Martin Luther King Dr
Memphis, TN 38104

Call (901) 827-0571 Map

Fax (800) 594-5717

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Pastoral Counselor Primary 101YP1600XNone listed

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About NPI 1790170140

Lillie Matlock's National Provider Identifier is 1790170140, issued on Apr 2, 2015. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Memphis, TN. The record was last updated on Apr 2, 2015.