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

Lilly Mistopoulos, LLMSW

Individual provider Adolescent and Children Mental Health Clinic/Center · NPI 1912460106

Lilly Mistopoulos, LLMSW is an Adolescent and Children Mental Health Clinic/Center in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

6700 Browns Lake Rd
Jackson, MI 49201-8379
Phone: (517) 768-5200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X · Licence 6851118260 (MI)

Record details

NPI number1912460106
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedApril 13, 2019
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address6700 Browns Lake Rd, Jackson, MI 49201-8379