Healthcare Provider Details

I. General information

NPI: 1093373607
Provider Name (Legal Business Name): SKYLAR ISABEL OFILI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21244 S 225TH WAY
QUEEN CREEK AZ
85142-2824
US

IV. Provider business mailing address

21244 S 225TH WAY
QUEEN CREEK AZ
85142-2824
US

V. Phone/Fax

Practice location:
  • Phone: 949-939-7414
  • Fax:
Mailing address:
  • Phone: 949-939-7414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-20612
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: