LIBERTYVILLE COUNSELING LTD NPI 1578929733

NPI Information

NPI: 1578929733
Provider Name: LIBERTYVILLE COUNSELING LTD
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

CLIA Number: 14D2211874

Address:
1590 S MILWAUKEE AVE
SUITE 302
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 691-8109
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LIBERTYVILLE COUNSELING LTD is a professional counselor in Libertyville, IL. LIBERTYVILLE COUNSELING LTD NPI is 1578929733. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1590 S MILWAUKEE AVE
SUITE 302
LIBERTYVILLE, IL
ZIP 60048-793
Phone: (847) 691-8109

The provider's authorized official is Michelle Marie Landis .
The authorized official title is Counselor/ Owner and has the following contact phone number (847) 691-8109.

The CLIA number assigned to this NPI record is 14D2211874 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2016 and was last updated on 1/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180006533	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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