NORTHERN LIGHTS GUIDANCE AND COUNSELING LLC


Address: 406 W Hawthorne Blvd, Mundelein, IL 60060-2606
Phone: 8479876421

NORTHERN LIGHTS GUIDANCE AND COUNSELING LLC (NPI# 1639525306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639525306
Entity Type Organization
Organization Name NORTHERN LIGHTS GUIDANCE AND COUNSELING LLC
Practice Address 406 W Hawthorne Blvd
Mundelein
IL 60060-2606
Practice Telephone 8479876421
Mailing Telephone 8479876421
Enumeration Date 2016-05-11
Last Update Date 2016-06-24
Authorized Official Name DR. ABBEY GRAVES (PSYCHOLOGIST CLINICAL)
Authorized Official Telephone 8479876421
Authorized Official Credential PSY. D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 406 W HAWTHORNE BLVD
City MUNDELEIN
State IL
Zip Code 60060-2606

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City MUNDELEIN
Zip Code 60060

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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