Organization Name: | GREAT CHANGES COUNSELING SERVICES, P.C. |
NPI Number: | 1205137346 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA M WELTER (DIRECTOR) |
Mailing Address: | 9435 Bormet Dr Ste 5 Mokena |
State: | IL US |
Postal Code: | 604487401 |
Phone Number: | 8152602566 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2010 |
NPI Last Update Date: | 02/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149010490 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |