Provider Demographics
NPI:1992344543
Name:MAHER, LASMA (LCPC)
Entity type:Individual
Prefix:
First Name:LASMA
Middle Name:
Last Name:MAHER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 STACY CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-3734
Mailing Address - Country:US
Mailing Address - Phone:708-609-1426
Mailing Address - Fax:
Practice Address - Street 1:932 STACY CT
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-3734
Practice Address - Country:US
Practice Address - Phone:708-609-1426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-30
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178015446101YP2500X
IL180014224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional