Mary Elizabeth Daley, LPC
Individual provider Active NPI Counselor · Mundelein, IL
NPI 1679875884 · NPPES record last updated Nov 2, 2011
Key facts
- NPI
- 1679875884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 178003357 (IL)
- Practice address
- 505 E Hawley St Ste 140
Mundelein, IL 60060-2458 - Phone
- (847) 347-7667
- Fax
- (224) 513-4700
- NPI assigned
- Nov 19, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 178003357 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Counseling of Lake County Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178003357 | IL | Yes |
Addresses
Primary practice location
505 E Hawley St Ste 140
Mundelein, IL 60060-2458
Mailing address
505 E Hawley St Ste 140
Mundelein, IL 60060-2458
Phone (847) 347-7667
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178003357 | Other | IL | LICENSED PROFESSIONAL COUNSELOR |
Other names
- Miss Mary Elizabeth Hanlon
Other providers in Mundelein, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2011. 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.