| Doctor Name: | MS. BEVERLY JOAN MARINELLI |
| NPI Number: | 1205958345 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS LCPC |
| License Number: | 180-002684 |
| Business Practice Address: | 4700 W 95th St Suite Ll5 Oak Lawn, IL - 604532533 |
| Business Phone Number: | 8002161110 |
| Business Fax Number: | 7083464868 |
| Mailing Address: | Po Box 776, Advocate Family Care Network OAK LAWN |
| State: | IL |
| Postal Code: | 604540776 |
| Phone Number: | 8002161110 |
| Fax Number: | 7083464868 |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 05/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 180-002684 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |