A Great Awakening Counseling Services PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Olympia Fields, IL. Organization (NPI-2).
NPI number1366377350
StatusActive
Last updated in NPPESJun 12, 2026
Details
- NPI
- 1366377350
- Entity type
- Organization (NPI-2)
- Legal business name
- A Great Awakening Counseling Services PLLC
- Organization subpart
- No
- Enumeration date
- Jun 12, 2026
- Certification date
- Jun 12, 2026
- Last updated
- Jun 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
20200 Governors Dr Ste 352Olympia Fields, IL 60461-1032
Phone 708-500-6280
Mailing address
20200 Governors Dr Ste 352Olympia Fields, IL 60461-1032
Authorized official
Tamaya Staten
Owner
7733303713
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