Provider Demographics
NPI:1457066094
Name:ELKO, TIMBER LOUISE (LPC)
Entity Type:Individual
Prefix:
First Name:TIMBER
Middle Name:LOUISE
Last Name:ELKO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TIMBER
Other - Middle Name:LOUISE
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:365 FRANKLIN HILL RD
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-8921
Mailing Address - Country:US
Mailing Address - Phone:724-664-9079
Mailing Address - Fax:
Practice Address - Street 1:365 FRANKLIN HILL RD
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-8921
Practice Address - Country:US
Practice Address - Phone:724-543-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015272101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional