Provider Demographics
NPI:1134666381
Name:MIHALCHICK, ELIZABETH BESTER (LPCC, LADC, LSC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:BESTER
Last Name:MIHALCHICK
Suffix:
Gender:F
Credentials:LPCC, LADC, LSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 COON RAPIDS BLVD NW STE C
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-5500
Mailing Address - Country:US
Mailing Address - Phone:612-423-6372
Mailing Address - Fax:
Practice Address - Street 1:2419 NICOLLET AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-3424
Practice Address - Country:US
Practice Address - Phone:612-767-2064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-26
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN304569101YA0400X
101YM0800X
MN486257101YS0200X
MN1527101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool