Counseling Center Of Grayslake

LBN: Counseling Center Of Grayslake
Counseling Center Of Grayslake is an health care organization with primary practice located at 142 Hawley St Ste 5 , Grayslake IL 60030-3653. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Counseling Center Of Grayslake can be contacted via phone (847) 962-9549, or through Pettinato, Julie via phone (847) 962-9549.

Contact Information

Primary practice address
142 Hawley St Ste 5 Grayslake IL 60030-3653
Phone: (847) 962-9549
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pettinato, Julie Licensed Clinical Social Worker (LCSW)
Phone: (847) 962-9549

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 149.014706 Illinois

Profile Details

NPI number 1730539966
LBN Legal business name Counseling Center Of Grayslake
DBA Doing business as
Authorized official Pettinato, Julie Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2016
Last updated Jun 19th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730539966 NPPES
Illinois Other F300232686 MEDICARE PTAN

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