Healthcare Provider Details

I. General information

NPI: 1932699212
Provider Name (Legal Business Name): ASHLEIGH ELIZABETH HELLER LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2018
Last Update Date: 01/26/2025
Certification Date: 01/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E ERIE ST STE 520
CHICAGO IL
60611-2792
US

IV. Provider business mailing address

1560 N SANDBURG TER APT 1501
CHICAGO IL
60610-1342
US

V. Phone/Fax

Practice location:
  • Phone: 847-868-3435
  • Fax:
Mailing address:
  • Phone: 414-405-9582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180011511
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.011315
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.011511
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number2322338
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: