Provider Demographics
NPI:1194092833
Name:BURROWS, EMILY (LCPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:BURROWS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:MELVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1802 N DIVISION ST STE 509
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450-3107
Mailing Address - Country:US
Mailing Address - Phone:815-941-3882
Mailing Address - Fax:815-941-3884
Practice Address - Street 1:3248 VANDEVER AVE
Practice Address - Street 2:
Practice Address - City:PEKIN
Practice Address - State:IL
Practice Address - Zip Code:61554-6257
Practice Address - Country:US
Practice Address - Phone:309-347-5579
Practice Address - Fax:309-347-7302
Is Sole Proprietor?:No
Enumeration Date:2011-11-23
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional