Elizabeth Frances Blaha, LCPC
Individual provider Active NPI Professional Counselor · Lockport, IL
NPI 1043083744 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1043083744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180012273 (IL)
- Practice address
- 17758 S Mitchell LN
Lockport, IL 60441-4754 - Phone
- (708) 703-0171
- NPI assigned
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180012273 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180012273 | IL | Yes |
Addresses
Primary practice location
17758 S Mitchell LN
Lockport, IL 60441-4754
Mailing address
17758 S Mitchell LN
Lockport, IL 60441-4754
Phone (708) 703-0171
Other providers in Lockport, IL
- Scott Bevans
- Mark Warner Bey
- BH Care LLC
- Isabella Marie Bigos
- Margaret Mary Bitten
- Gregory Paul Bobak
- Brianne Kathryn Boettcher
- Thomas Richard Brescia
- Bridges to a New Day,NFP
- Brightpath Lab LLC
All providers in Lockport, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.