Healthcare Provider Details

I. General information

NPI: 1740833342
Provider Name (Legal Business Name): ILKEM EREN ONDER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ILKEM EREN ONDER LMHC

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1913 S OCEAN DR APT 312
HALLANDALE BEACH FL
33009-5952
US

IV. Provider business mailing address

1913 S OCEAN DR APT 312
HALLANDALE BEACH FL
33009-5952
US

V. Phone/Fax

Practice location:
  • Phone: 919-455-5959
  • Fax:
Mailing address:
  • Phone: 919-455-5959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH22680
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: