Emma Lee Van Dillen, M.ED, LPC
Individual provider Active NPI Professional Counselor · Lake Saint Louis, MO
NPI 1811241441 · NPPES record last updated Feb 7, 2025
Key facts
- NPI
- 1811241441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2024046605 (MO)
- Practice address
- 8651 Hwy N
Ste 100, Box 65
Lake Saint Louis, MO 63367-4329 - Phone
- (314) 202-4026
- NPI assigned
- Nov 5, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024046605 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2024046605 | MO | Yes |
Addresses
Primary practice location
8651 Hwy N
Ste 100, Box 65
Lake Saint Louis, MO 63367-4329
Mailing address
8651 Hwy N
Ste 100, Box 65
Lake Saint Louis, MO 63367-4329
Phone (314) 202-4026
Other practice location 1
71 N Ridgewynd Ct
Lake Saint Louis, MO 63367-4329
Phone (314) 202-4026
Other names
- Emma Lee Godby
Other providers in Lake Saint Louis, MO
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- Lee Trotter
- Sarah Udell
- Jillian Marie Vogt
- Catherine Anne Vollmar
- Janice Lynn Wade
- Tonya Renee' Warren
- Daniel J Washeck
All providers in Lake Saint Louis, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2025. 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.