STEPHANIE LYNN ALTIZER LCPC
NPI 1497489363
Counselor - Professional in Breese, IL

Active since July 14, 2022
276 N MAIN ST, BREESE, IL 62230(636) 422-0226 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.