MEDICARE: JILL ERLINDER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	178.004394	IL
2	101YM0800X	Mental Health Counselor	MH24971	FL

General Provider Information

NPI Number	:	1972967206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL ERLINDER LPC

Provider Business Mailing Address
First Line	:	428 WINNERS CIR
Second Line	:
City	:	LADY LAKE
State	:	FL
Zip	:	32159-4656
Country	:	US
Telephone Number	:	815-545-9967
Fax Number	:

Provider Business Practice Location Address
First Line	:	428 WINNERS CIR
Second Line	:
City	:	LADY LAKE
State	:	FL
Zip	:	32159-4656
Country	:	US
Telephone Number	:	815-545-9967
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2016
Last Update Date	:	02/05/2025

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