LISA MARIE BODNAR LPC NPI 1760139968

NPI Information

NPI: 1760139968
Provider Name: LISA MARIE BODNAR, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
572 CRESCENT BLVD
GLEN ELLYN, IL
ZIP 60137
Phone: (844) 984-7252
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Lisa Marie Bodnar, LPC is a mental health counselor in Glen Ellyn, IL. Lisa Marie Bodnar, LPC NPI is 1760139968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

572 CRESCENT BLVD
GLEN ELLYN, IL
ZIP 60137-151
Phone: (844) 984-7252

The enumeration date for this NPI number is 3/7/2022 and was last updated on 3/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	178.017097	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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