Provider Demographics
NPI:1235433574
Name:ELIE, SARA (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:ELIE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:VICTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:870 E HIGGINS RD
Mailing Address - Street 2:SUITE 140 C
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4796
Mailing Address - Country:US
Mailing Address - Phone:708-899-1679
Mailing Address - Fax:
Practice Address - Street 1:870 E HIGGINS RD
Practice Address - Street 2:SUITE 140 C
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4796
Practice Address - Country:US
Practice Address - Phone:708-899-1679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-30
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007681101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional