Provider Demographics
NPI:1083420269
Name:BILCHIK, EILEEN TRAEGER (LMHC)
Entity type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:TRAEGER
Last Name:BILCHIK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3964 POINCIANA AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6424
Mailing Address - Country:US
Mailing Address - Phone:305-298-2539
Mailing Address - Fax:
Practice Address - Street 1:3964 POINCIANA AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-6424
Practice Address - Country:US
Practice Address - Phone:305-298-2539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5608101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherBETTERHEALTH