Provider Type Icon

ANNETTE MANDEVILLE LCPC NPI 1871705624


NPI Information

NPI: 1871705624
Provider Name: ANNETTE MANDEVILLE, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5457 S EVERETT AVE
2-B
CHICAGO, IL
ZIP 60615
Phone: (773) 501-9326
Get Directions

Annette Mandeville, LCPC is a mental health counselor in Chicago, IL. Annette Mandeville, LCPC NPI is 1871705624. 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:

5457 S EVERETT AVE
2-B
CHICAGO, IL
ZIP 60615-945
Phone: (773) 501-9326

The enumeration date for this NPI number is 5/4/2007 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthILLINOISYes
2101YP2500XCounselorProfessionalILLINOISX

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.