Individual provider · NPI-1

Lynda Throm

Counselor, Professional · Gurnee, IL

NPI number1376897074
StatusActive
Last updated in NPPESMay 11, 2026

Details

NPI
1376897074
Entity type
Individual (NPI-1)
Name
Lynda Throm
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 1, 2012
Certification date
May 11, 2026
Last updated
May 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional1800008190ILYes
261QM0855X Clinic/Center, Adolescent and Children Mental Health180008190IL
101Y00000X Counselor180008190IL
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)180008190IL
251S00000X Community/Behavioral Health180008190IL
261QM0850X Clinic/Center, Adult Mental Health180008190IL
101YM0800X Counselor, Mental Health180008190IL
101YP2500X Counselor, Professional180008190IL

Practice location

5101 Washington St Ste 1114
Gurnee, IL 60031-2988

Phone 224-408-0852 · Fax 224-353-4874

Mailing address

5101 Washington St Ste 1114
Gurnee, IL 60031-2988

Phone 224-408-0852 · Fax 224-353-4874

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