Healthcare Provider Details

I. General information

NPI: 1558299750
Provider Name (Legal Business Name): HULYA ERMIS LCPC, NCC, CCTP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 E THACKER ST
DES PLAINES IL
60016-6460
US

IV. Provider business mailing address

704 ALBANY LN
DES PLAINES IL
60016-1000
US

V. Phone/Fax

Practice location:
  • Phone: 847-699-8905
  • Fax:
Mailing address:
  • Phone: 361-400-9922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180018160
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: