Search › Idaho › 101YP2500X
Jerry Lilly, ED.S
NPI 1124390786 · on the registry since 2012 · sole proprietor
Practice
- Address
- 172 S Academy Ave Ste 160
Eagle, ID 83616 - Phone
- (208) 315-4855
- Organisation at this address
- Mallory Murphy
Full Disclosure Therapy
Brian Huck, Lcsw Counseling And Consulting, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 12073 N Humphreys Way, Boise, ID
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho