Healthcare Provider Details

I. General information

NPI: 1871400150
Provider Name (Legal Business Name): MICHELLE LAFFERTY LPC, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 ALLER AVE
ELGIN IL
60120-8136
US

IV. Provider business mailing address

523 ALLER AVE
ELGIN IL
60120-8136
US

V. Phone/Fax

Practice location:
  • Phone: 815-587-4354
  • Fax:
Mailing address:
  • Phone: 815-587-4354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number33841
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178019935
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: