Provider Demographics
NPI:1396537148
Name:ELKHOURY, BLAIRE NICOLE (LPC)
Entity type:Individual
Prefix:
First Name:BLAIRE
Middle Name:NICOLE
Last Name:ELKHOURY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BLAIRE
Other - Middle Name:NICOLE
Other - Last Name:ELKHOURY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:7 HAWK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NJ
Mailing Address - Zip Code:08022-2238
Mailing Address - Country:US
Mailing Address - Phone:732-322-0668
Mailing Address - Fax:
Practice Address - Street 1:7 HAWK DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NJ
Practice Address - Zip Code:08022-2238
Practice Address - Country:US
Practice Address - Phone:732-322-0668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00763700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional