MRS. ATHANASIA SOUFLAKIS


Address: 244 Michael Mnr, Glenview, IL 60025-4632
Phone: 7082037454

MRS. ATHANASIA SOUFLAKIS (NPI# 1811467806) 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) 1811467806
Entity Type Individual
Full Name MRS. ATHANASIA SOUFLAKIS
Credential LCPC
Practice Address 244 Michael Mnr
Glenview
IL 60025-4632
Practice Telephone 7082037454
Mailing Telephone 7082037454
Enumeration Date 2018-12-03
Last Update Date 2018-12-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 180.011917 IL Behavioral Health & Social Service Providers

Office Location

Street Address 244 MICHAEL MNR
City GLENVIEW
State IL
Zip Code 60025-4632

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NPI Name Taxonomy Address Enumeration
1568933059 Rooted Mind Counseling Center LLC Clinic/Center 244 Michael Mnr, Glenview, IL 60025-4632 2018-12-10

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

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’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215494216 Anna Merel Counselor 3633 W Lake Ave Ste 105, Glenview, IL 60026-5801 2019-02-26
1184125106 Therapylink Counselor 1240 Swainwood Dr, Glenview, IL 60025-2840 2018-02-25
1841746690 Erin Hinchcliff Vass Counselor 1020 Indian Rd, Glenview, IL 60025-3318 2016-08-31
1174900872 Linsey Cherveny Counselor 1460 Lehigh Ave, Apt 104, Glenview, IL 60026-2063 2015-05-01
1235539768 Lisa Synnestvedt Counselor 801 Clover Ct, Glenview, IL 60025-4141 2014-09-03
1295070209 Michael B Goldman Counselor 22 Mulberry Ct, Glenview, IL 60025-3348 2012-12-02
1295036846 Nancy Agostinelli Friedman Counselor 1740 Waukegan Rd., Suite 10, Glenview, IL 60025 2010-11-13
1285271296 Zoe Leshner Counselor 3633 W Lake Ave Ste 105, Glenview, IL 60026-5801 2019-12-09
1619331006 Bianca A Gonzalez Counselor 1308 Waukegan Rd Ste 103, Glenview, IL 60025-3070 2016-04-12
1386006351 Kaitlyn Berger Counselor 3080 W Lake Ave, Glenview, IL 60026-1210 2016-03-28
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Competitor

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City GLENVIEW
Zip Code 60025

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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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