| Doctor Name: | ELIZABETH MALDONADO PROKAY |
| NPI Number: | 1497708309 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | E0008084 |
| Business Practice Address: | 223 Miller Rd Avon Lake, OH - 440121004 |
| Business Phone Number: | 4409302002 |
| Business Fax Number: | 4409302085 |
| Mailing Address: | 765 Lafayette Blvd, SHEFFIELD LAKE |
| State: | OH |
| Postal Code: | 440541430 |
| Phone Number: | 4409497379 |
| Fax Number: | |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 03/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E0008084 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |