Provider Demographics
NPI:1609631910
Name:ELEBY, ISRAELNEISHA RENEE (PLPC)
Entity type:Individual
Prefix:MISS
First Name:ISRAELNEISHA
Middle Name:RENEE
Last Name:ELEBY
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 SKYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-1307
Mailing Address - Country:US
Mailing Address - Phone:314-599-2709
Mailing Address - Fax:
Practice Address - Street 1:737 DUNN RD
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1740
Practice Address - Country:US
Practice Address - Phone:314-203-0744
Practice Address - Fax:314-731-4433
Is Sole Proprietor?:No
Enumeration Date:2024-02-15
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor