Provider Demographics
NPI:1134397771
Name:ERCOLI, ABIGAIL ANN (LCPC, LMHC)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:ANN
Last Name:ERCOLI
Suffix:
Gender:F
Credentials:LCPC, LMHC
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:ANN
Other - Last Name:ALMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18440 PALMER AVE
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-3217
Mailing Address - Country:US
Mailing Address - Phone:708-250-3746
Mailing Address - Fax:
Practice Address - Street 1:10220 WICKER AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:SAINT JOHN
Practice Address - State:IN
Practice Address - Zip Code:46373-9424
Practice Address - Country:US
Practice Address - Phone:219-381-5110
Practice Address - Fax:219-365-5060
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-18
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional