Organization · NPI-2
Allie Divito-Mccoy Therapeutic Services PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Wood Dale, IL
NPI number1689568958
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1689568958
- Entity type
- Organization (NPI-2)
- Legal business name
- Allie Divito-Mccoy Therapeutic Services PLLC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2025
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
387 Preserve LnWood Dale, IL 60191-1949
Phone 630-991-0229
Mailing address
387 Preserve LnWood Dale, IL 60191-1949
Phone 630-991-0229
Authorized official
Alexandra Divito
Owner/Lcpc Cadc
6309910229
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