Provider Demographics
NPI:1841942299
Name:MICHAELS, EMILY (MS, MA, LPC, LPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:MS, MA, LPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 S HARVEY AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-3581
Mailing Address - Country:US
Mailing Address - Phone:262-374-5956
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 5042
Practice Address - Street 2:
Practice Address - City:RIVER FOREST
Practice Address - State:IL
Practice Address - Zip Code:60305-5042
Practice Address - Country:US
Practice Address - Phone:262-374-5956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178-018100101YM0800X
WI10343-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health