Individual provider · Type 1 NPI
Lilly Mistopoulos, LLMSW
Adolescent and Children Mental Health Clinic/Center · Jackson, MI
Practice location
6700 Browns Lake Rd
Jackson, MI 49201-8379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | 6851118260 (MI) |
Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
19 other providers at this address
- Jackson County Intermediate School DistrictLocal Education Agency (LEA) Jackson, MI NPI 1205851623
- Andrea LuppoClinical Social Worker Jackson, MI NPI 1275438756
- Ann Marie Shaw, LMSWSchool Social Worker Jackson, MI NPI 1215849252
- Bailey Clark, LMSWSchool Social Worker Jackson, MI NPI 1225934243
- Brandon ValentineCounselor Jackson, MI NPI 1841032216
- Catherine Cole Morgan, LLMSWSchool Social Worker Jackson, MI NPI 1871441519
- Chera NeffPhysical Therapy Assistant Jackson, MI NPI 1598662413
- Erin KregerSpeech-Language Pathologist Jackson, MI NPI 1194634451
- Gretchen Tello, OTR/LOccupational Therapist Jackson, MI NPI 1255926481
- Jamie Schlievert, CCC-SLPSpeech-Language Pathologist Jackson, MI NPI 1124316864
- Kary Swiontek, M.A., CCC-SLPSpeech-Language Pathologist Jackson, MI NPI 1942119201
- Kimberly Dietrich, PT, DPTPhysical Therapist Jackson, MI NPI 1659841898
About NPI 1912460106
Lilly Mistopoulos, LLMSW's National Provider Identifier is 1912460106, issued on Apr 13, 2019. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Jackson, MI. The record was last updated on Aug 7, 2026.