Organization Name: | STABLEWAY COUNSELING SERVICES, LLC |
NPI Number: | 1316316953 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JILL FURLER (CO-OWNER) |
Mailing Address: | 444 S. Rand Road Suite 207 Lake Zurich |
State: | IL US |
Postal Code: | 600472362 |
Phone Number: | 8155291295 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2015 |
NPI Last Update Date: | 09/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149016473 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |