Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lillie's Home, Inc

Organization Mental Health Counselor · NPI 1124856158

Lillie's Home, Inc is a Mental Health Counselor in Cleveland, Ohio. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
9
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11811 Shaker Blvd Ste 204 #1168
Cleveland, OH 44120-1927
Phone: (216) 200-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Case Manager/Care Coordinator Taxonomy 171M00000X
Community Health Worker Taxonomy 172V00000X
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Prevention Professional Taxonomy 405300000X

Record details

NPI number1124856158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamika Moore — Executive Director · (216) 200-6727
NPI enumeratedJuly 22, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address11811 Shaker Blvd, Ste 204 #1168, Cleveland, OH 44120-1927

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