Provider Demographics
NPI:1841781226
Name:SKINDELIEN, ELIZABETH ANN (LPCC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:SKINDELIEN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:A
Other - Last Name:MARTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:47909 232ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-5259
Mailing Address - Country:US
Mailing Address - Phone:612-759-9626
Mailing Address - Fax:612-614-3219
Practice Address - Street 1:47909 232ND ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-5259
Practice Address - Country:US
Practice Address - Phone:612-946-0205
Practice Address - Fax:612-500-4591
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-22
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN01767101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health