Healthcare Provider Details

I. General information

NPI: 1609676857
Provider Name (Legal Business Name): SARAH STIEGLITZ MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 W JACKSON BLVD STE 1615
CHICAGO IL
60604-3722
US

IV. Provider business mailing address

14813 MICHAEL DR
LEO CEDARVILLE IN
46765-9714
US

V. Phone/Fax

Practice location:
  • Phone: 773-492-0784
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.021203
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: