Elizabeth Anne Chisholm, LPC
Individual provider Active NPI Mental Health Counselor · Lake Orion, MI
NPI 1235456658 · NPPES record last updated Apr 25, 2010
Key facts
- NPI
- 1235456658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6401006794 (MI)
- Practice address
- 45 N Lapeer St
Lake Orion, MI 48362-3159 - Phone
- (248) 693-9614
- NPI assigned
- Apr 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 6401006794 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Place Counseling LLC Dba Treeside Psychological Clinic | Counselor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401006794 | MI | Yes |
Addresses
Primary practice location
45 N Lapeer St
Lake Orion, MI 48362-3159
Mailing address
45 N Lapeer St
Lake Orion, MI 48362-3159
Phone (248) 693-9614
Other providers in Lake Orion, MI
- Alexandra Nicole Hoskins Cargo
- Caruso Chiropractic Clinic, P.C.
- Sam Caruso
- Catholic Social Services of Oakland County
- Shushovan Chakrabortty
- Mary A. Christ
- Christine M Saad DDS PC
- Sabrinia Marie Churico
- Rocco Ciccone
- Jeffery Allen Clark
All providers in Lake Orion, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2010. 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.