SOPHIA CATHERINE BURKE LCPC NPI 1447630769

NPI Information

NPI: 1447630769
Provider Name: SOPHIA CATHERINE BURKE, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4081 N BROADWAY ST
CHICAGO, IL
ZIP 60613
Phone: (773) 883-9100
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Sophia Catherine Burke, LCPC is a professional counselor in Chicago, IL. Sophia Catherine Burke, LCPC NPI is 1447630769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4081 N BROADWAY ST
CHICAGO, IL
ZIP 60613-117
Phone: (773) 883-9100
Fax: (773) 883-0005

The enumeration date for this NPI number is 6/2/2015 and was last updated on 8/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	178.010817	ILLINOIS	No
2	101YP2500X	Counselor	Professional	180.011057	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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