STEPHANIE LYNN ALTIZER LCPC
NPI 1497489363
Counselor - Professional in Breese, IL
- Individual
- Female
- Counselor
- Professional
About STEPHANIE ALTIZER
This page provides the complete NPI Profile along with additional information for Stephanie Altizer, a provider established in Breese, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1497489363 assigned on July 2022. The practitioner's primary taxonomy code is 101YP2500X with license number 180.014192 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1497489363 Verify this NPI
- Provider Name
- STEPHANIE LYNN ALTIZER LCPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 276 N MAIN ST BREESE, IL 62230
- Location Phone
- (636) 422-0226
- Mailing Address
- 9701 SAINT VINCENT PL BREESE, IL 62230
- Mailing Phone
- (618) 570-5151
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-14-2022
- Last Update Date
- 07-14-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180.014192
- License State
- IL
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497489363, enumerated as an "individual" on July 14, 2022.
The provider is located at 276 N MAIN ST BREESE, IL 62230 and the phone number is (636) 422-0226.
Counselor with taxonomy code 101YP2500X and a focus in Professional.