Foundations Counseling, LLC
Social Worker, Clinical in Evergreen Park, IL. Organization (NPI-2).
NPI number1124530456
StatusActive
Last updated in NPPESJul 20, 2018
Details
- NPI
- 1124530456
- Entity type
- Organization (NPI-2)
- Legal business name
- Foundations Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2017
- Last updated
- Jul 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149019762 | IL | Yes |
Practice location
9730 S Western Ave Ste 215Evergreen Park, IL 60805
Phone 773-242-9726
Mailing address
9730 S Western Ave Ste 215Evergreen Park, IL 60805-2871
Other practice locations
Authorized official
Samantha Louise Allen
Ceo/ Mental Health Therapist
7085290122
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