EMILY HAFENBRIDLE BS NPI 1760894059

NPI Information

NPI: 1760894059
Provider Name: EMILY HAFENBRIDLE, BS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
11020 STATE ROUTE 250
LAWRENCEVILLE, IL
ZIP 62439
Phone: (618) 943-3754
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Emily Hafenbridle, BS is a professional counselor in Lawrenceville, IL. Emily Hafenbridle, BS NPI is 1760894059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11020 STATE ROUTE 250
LAWRENCEVILLE, IL
ZIP 62439-379
Phone: (618) 943-3754
Fax: (618) 943-3657

The enumeration date for this NPI number is 5/21/2014 and was last updated on 5/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C48402	MEDICARE UPIN	ILLINOIS
2	207184	MEDICARE PIN	ILLINOIS
3	036072942	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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