NORTH SHORE WELLNESS SERVICES LTD. NPI 1073639126

NPI Information

  • NPI: 1073639126
  • Provider Name: NORTH SHORE WELLNESS SERVICES, LTD.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: NORTH SHORE COUNSELING, LTD.
  • Address: 425 HUEHL RD BLDG 19B
    NORTHBROOK, IL
    ZIP 60062
  • Phone: (847) 205-0371

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NPI Details

NORTH SHORE WELLNESS SERVICES, LTD. is a mental health counselor in Northbrook, IL. NORTH SHORE WELLNESS SERVICES, LTD. NPI is 1073639126. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As North Shore Counseling, Ltd..

The provider's business location address is:

425 HUEHL RD BLDG 19B
NORTHBROOK, IL
ZIP 60062-323
Phone: (847) 205-0371
Fax: (847) 205-0377

The provider's authorized official is Victoria Manion Fleming .
The authorized official title is President and has the following contact phone number (847) 205-0371.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 1/25/2019.

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
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthYes
3103TC1900XPsychologistCounselingNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5261QM0850XClinic/CenterAdult Mental HealthNo
6251S00000XCommunity/Behavioral Health180005618ILLINOISNo

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: 11/21/2025

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