Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Ebony Waller, LMFT, RPT, PHD

Individual provider Marriage & Family Therapist · NPI 1982431094

MS. Ebony Waller, LMFT, RPT, PHD is a Marriage & Family Therapist in Cherry Valley, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7572 N Cherryvale Blvd Apt 204
Cherry Valley, IL 61016-9305
Phone: (702) 572-8535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 166.001541 (IL)

Record details

NPI number1982431094
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT , RPT , PHD
Sole proprietorYes
NPI enumeratedSeptember 14, 2024
Last updated in NPPESSeptember 14, 2024
Certification dateSeptember 14, 2024