Provider Demographics
NPI:1225750490
Name:ILARDI, ABBY (LPC-T)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:ILARDI
Suffix:
Gender:F
Credentials:LPC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-3766
Mailing Address - Country:US
Mailing Address - Phone:785-764-1242
Mailing Address - Fax:
Practice Address - Street 1:840 DELAWARE ST STE 8
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-3061
Practice Address - Country:US
Practice Address - Phone:785-409-1887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04158-T101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health