Organization Name: | AFFILIATES IN COUNSELING LLC |
NPI Number: | 1003868472 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MORTON C MIRMAN (PARTNER) |
Mailing Address: | 633 Skokie Blvd 260 Northbrook |
State: | IL US |
Postal Code: | 600622858 |
Phone Number: | 8474800300 |
Fax Number: | 8472910576 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 04/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |