Provider Demographics
NPI:1558796730
Name:CHILZER, ELANA LEE
Entity Type:Individual
Prefix:
First Name:ELANA
Middle Name:LEE
Last Name:CHILZER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ELANA
Other - Middle Name:LEE
Other - Last Name:CHILZER-SAHM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:20 OLD PLANK ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301
Mailing Address - Country:US
Mailing Address - Phone:724-249-2829
Mailing Address - Fax:
Practice Address - Street 1:20 OLD PLANK ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301
Practice Address - Country:US
Practice Address - Phone:724-249-2829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-06
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007093101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional