| Elise Lanker Counseling, Pllc | |
|
1102 W Church St Champaign IL 61821-2745 | |
| (217) 375-8329 | |
| Not Available |
| Full Name | Elise Lanker Counseling, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1102 W Church St, Champaign, Illinois |
| Authorized Official Name and Position | Elise Lanker (OWNER) |
| Authorized Official Contact | 2173758329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elise Lanker Counseling, Pllc 1717 W Kirby Ave Unit A-09 Champaign IL 61821-5507 Ph: (217) 375-8329 | Elise Lanker Counseling, Pllc 1102 W Church St Champaign IL 61821-2745 Ph: (217) 375-8329 |
| NPI Number | 1053138115 |
|---|---|
| Provider Enumeration Date | 09/20/2024 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053138115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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