IndividualActive
Lisa Zimmerman, LPC
NPI 1679170955 · Professional Counselor · Davis, IL
Provider details
- NPI number
- 1679170955
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 178.016378 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
16255 Hartman Rd
Davis, IL 61019-9201
Phone: (815) 216-9772
Approximate (ZIP-level) locationGet directions
Mailing address
7080 Mill Rd
Rockford, IL 61108-2623
Additional practice locations (1)
- 12570 Dorr RdRockton, IL 61072-2839Phone: (815) 216-9772
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 2020-10-08
- Certified
- 2020-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.