Provider Demographics
NPI:1902521099
Name:WEST, ELESHA ERIN (MAPC, MDIV)
Entity Type:Individual
Prefix:MS
First Name:ELESHA
Middle Name:ERIN
Last Name:WEST
Suffix:
Gender:F
Credentials:MAPC, MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 W 35TH PL
Mailing Address - Street 2:
Mailing Address - City:STEGER
Mailing Address - State:IL
Mailing Address - Zip Code:60475-1603
Mailing Address - Country:US
Mailing Address - Phone:708-606-6559
Mailing Address - Fax:
Practice Address - Street 1:905 175TH ST FL 3
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-2076
Practice Address - Country:US
Practice Address - Phone:773-998-9948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health