LAURA DEFFLEY
NPI 1699539767
Counselor in Normal, IL

Active since February 09, 2024
1404 IRONWOOD CC DRIVE, NORMAL, IL 61761(309) 322-7593 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Laura Deffley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA DEFFLEY (NPI 1699539767) is an individual counselor in Normal, Illinois, licensed in Illinois (178.015701) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1699539767
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLAURA DEFFLEY
Location Address1404 IRONWOOD CC DRIVENormal, IL 61761
Mailing Address1900 E College Ave # A128Normal, IL 61761-4507
Sole ProprietorNo
Enumeration DateFebruary 9, 2024
NPPES CertifiedFebruary 6, 2024
NPI 1699539767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in IL · 178.015701
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1404 IRONWOOD CC DRIVE, Normal, IL 61761

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699539767, enumerated as an "individual" on February 09, 2024.

The provider is located at 1404 IRONWOOD CC DRIVE NORMAL, IL 61761 and the phone number is (309) 322-7593.

Counselor with taxonomy code 101Y00000X.