PARK RIDGE PSYCHOTHERAPY AND COUNSELING SERVICES INC. NPI 1710405006

NPI Information

NPI: 1710405006
Provider Name: PARK RIDGE PSYCHOTHERAPY AND COUNSELING SERVICES, INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
350 S NORTHWEST HWY STE 300
PARK RIDGE, IL
ZIP 60068
Phone: (312) 788-7874
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PARK RIDGE PSYCHOTHERAPY AND COUNSELING SERVICES, INC. is a professional counselor in Park Ridge, IL. PARK RIDGE PSYCHOTHERAPY AND COUNSELING SERVICES, INC. NPI is 1710405006. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 S NORTHWEST HWY STE 300
PARK RIDGE, IL
ZIP 60068-262
Phone: (312) 788-7874

The provider's authorized official is Angela Marie Costanza .
The authorized official title is President/lcpc/psychotherapist and has the following contact phone number (312) 788-7874.

The enumeration date for this NPI number is 9/6/2017 and was last updated on 9/25/2017.

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	180010333	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1568710432	OTHER	ILLINOIS	INDIVIDUAL

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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