Provider Demographics
NPI:1063712453
Name:SEWARD, ELIZABETH LISKA (BA, MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LISKA
Last Name:SEWARD
Suffix:
Gender:F
Credentials:BA, MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 S QUENTIN RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-6778
Mailing Address - Country:US
Mailing Address - Phone:847-485-3068
Mailing Address - Fax:
Practice Address - Street 1:721 S QUENTIN RD
Practice Address - Street 2:SUITE 103
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-6778
Practice Address - Country:US
Practice Address - Phone:847-485-3068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178008811101YP2500X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor