Provider Demographics
NPI:1487830949
Name:ILYES, LINDSAY SARA (MS, LPC, LCPC)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:SARA
Last Name:ILYES
Suffix:
Gender:F
Credentials:MS, LPC, LCPC
Other - Prefix:MS
Other - First Name:LINDSAY
Other - Middle Name:SARA
Other - Last Name:KAWTOSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1201 W ELM AVE
Mailing Address - Street 2:#2
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-4600
Mailing Address - Country:US
Mailing Address - Phone:717-632-8400
Mailing Address - Fax:
Practice Address - Street 1:1201 W ELM AVE
Practice Address - Street 2:#2
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-4600
Practice Address - Country:US
Practice Address - Phone:717-632-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006437101YP2500X
MDLC3274101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional