MEDICARE: MAYA LADASKY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC-22843	AZ

General Provider Information

NPI Number	:	1972499093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYA LADASKY LPC

Provider Business Mailing Address
First Line	:	217 MAPLE RD
Second Line	:
City	:	BARRINGTON
State	:	IL
Zip	:	60010-3133
Country	:	US
Telephone Number	:	970-420-6491
Fax Number	:

Provider Business Practice Location Address
First Line	:	1718 E SPEEDWAY BLVD # 4073
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-4515
Country	:	US
Telephone Number	:	970-420-6491
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	07/11/2025

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Directions to “ MAYA LADASKY LPC” Practice Location

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