Provider Demographics
NPI:1518175504
Name:EPLING, ELIZABETH ANN (MS, CEAP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:EPLING
Suffix:
Gender:F
Credentials:MS, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 W HEALEY ST
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61821-3814
Mailing Address - Country:US
Mailing Address - Phone:217-398-2851
Mailing Address - Fax:
Practice Address - Street 1:204 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-1741
Practice Address - Country:US
Practice Address - Phone:217-383-3202
Practice Address - Fax:217-328-3581
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health