LAVINA VELASCO LCPC
NPI 1578047999
Counselor - Professional in Champaign, IL
Active since September 21, 2018
About Lavina Velasco Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAVINA VELASCO LCPC (NPI 1578047999) is an individual professional provider in Champaign, Illinois, licensed in Maryland (LC11120) and active in the NPI registry since September 2018. She maintains a secondary practice location in Champaign.
NPPES Registry Identity
NPI1578047999
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAVINA VELASCOCredential: LCPC
Location Address2516 WATERVILLE DRChampaign, IL 61822-7416
Mailing Address1717 W Kirby Ave # 401Champaign, IL 61821-5507 · (217) 991-8309
Phone(217) 991-8309
Sole ProprietorNo
Enumeration DateSeptember 21, 2018
Last NPPES UpdateSeptember 22, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1578047999 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MD · LC11120✔ Licensed in MD · LGP8399✔ Licensed in IL · 180014477
2516 WATERVILLE DR, Champaign, IL 61822
Secondary Practice Location 1
Location 12516 Waterville DrChampaign, IL 61822-7416 · Phone (217) 991-8309
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578047999, enumerated as an "individual" on September 21, 2018.
The provider is located at 2516 WATERVILLE DR CHAMPAIGN, IL 61822 and the phone number is (217) 991-8309.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
