Provider Demographics
NPI:1962688481
Name:PILSTER, ELIZABETH LOUISE (LCPC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LOUISE
Last Name:PILSTER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 WHITTIER RD
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2523
Mailing Address - Country:US
Mailing Address - Phone:386-747-8243
Mailing Address - Fax:386-951-6655
Practice Address - Street 1:208 E 8TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-4741
Practice Address - Country:US
Practice Address - Phone:386-951-6655
Practice Address - Fax:386-951-6655
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCPC2302101YP2500X
FLMH9603101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health