Organization Name: | PSYCHOLOGICAL COUNSELING CENTER, LLC |
NPI Number: | 1053765776 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATARZYNA BLANKA PILEWICZ (OWNER) |
Mailing Address: | 405 Lake Cook Rd Suite 203 Deerfield |
State: | IL US |
Postal Code: | 600154993 |
Phone Number: | 9479071166 |
Fax Number: | 8472361720 |
NPI Enumeration Date: | 04/19/2016 |
NPI Last Update Date: | 04/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180009107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |