Organization · NPI-2
4gconcepts
Counselor, Mental Health · Chicago, IL
NPI number1881371979
StatusActive
Last updated in NPPESOct 8, 2026
Details
- NPI
- 1881371979
- Entity type
- Organization (NPI-2)
- Legal business name
- 4gconcepts
- Organization subpart
- No
- Enumeration date
- Jun 29, 2023
- Certification date
- Oct 8, 2026
- Last updated
- Oct 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
2608 W 100th StChicago, IL 60655-1657
Phone 773-612-4784
Mailing address
2608 W 100th StChicago, IL 60655-1657
Phone 773-445-4784
Authorized official
Ronald Forgue
Owner
7083980608
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