THE WAY OUT THERAPEUTIC COUNSELING GROUP PLLC NPI 1083423719

NPI Information

  • NPI: 1083423719
  • Provider Name: THE WAY OUT THERAPEUTIC COUNSELING GROUP, PLLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Doing Business As: THE WAY OUT COUNSELING
  • Address: 10850 LINCOLN TRL UNIT 20-1861
    FAIRVIEW HEIGHTS, IL
    ZIP 62208
  • Phone: (314) 718-4503

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NPI Details

THE WAY OUT THERAPEUTIC COUNSELING GROUP, PLLC is a clinical social worker in Fairview Heights, IL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. THE WAY OUT THERAPEUTIC COUNSELING GROUP, PLLC NPI is 1083423719. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Way Out Counseling.

The provider's business location address is:

10850 LINCOLN TRL UNIT 20-1861
FAIRVIEW HEIGHTS, IL
ZIP 62208-339
Phone: (314) 718-4503
Fax: (618) 416-2708

The provider's authorized official is Tyrone D Ford .
The authorized official title is Managing Therapist/partner and has the following contact phone number (314) 718-4503.

The enumeration date for this NPI number is 1/7/2025 and was last updated on 1/7/2025.

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
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4101YP2500XCounselorProfessionalNo
5104100000XSocial WorkerNo
61041C0700XSocial WorkerClinicalYes
7171M00000XCase Manager/Care CoordinatorNo
8261QM0850XClinic/CenterAdult Mental HealthNo
9261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1149.018180OTHERILLINOISIL DEPT OF FINANCIAL AND PROFESSIONAL REGULATION
22016002322OTHERMISSOURIMO DIV OF PROFESSIONAL REGISTRATION
3248.005531OTHERILLINOISIL DEPT OF FINANCIAL AND PROFESSIONAL REGULATION

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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