Provider Demographics
NPI:1184462475
Name:EHLINGER, LAURA MICHELE (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:MICHELE
Last Name:EHLINGER
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:MICHELE
Other - Last Name:STABILE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:59 MARY LN
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CT
Mailing Address - Zip Code:06878-1527
Mailing Address - Country:US
Mailing Address - Phone:203-598-5908
Mailing Address - Fax:
Practice Address - Street 1:59 MARY LN
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CT
Practice Address - Zip Code:06878-1527
Practice Address - Country:US
Practice Address - Phone:203-598-5908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional