CENTER FOR SELF-ACTUALIZATION NPI 1922423508

NPI Information

NPI: 1922423508
Provider Name: CENTER FOR SELF-ACTUALIZATION
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3317 W 95TH ST
SUITE 101
EVERGREEN PARK, IL
ZIP 60805
Phone: (312) 927-0216
Get Directions

CENTER FOR SELF-ACTUALIZATION is a professional counselor in Evergreen Park, IL. CENTER FOR SELF-ACTUALIZATION NPI is 1922423508. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3317 W 95TH ST
SUITE 101
EVERGREEN PARK, IL
ZIP 60805-243
Phone: (312) 927-0216

The provider's authorized official is Tammy Rohan Bobel .
The authorized official title is Director and has the following contact phone number (312) 927-0216.

The enumeration date for this NPI number is 2/19/2014 and was last updated on 2/19/2014.

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	101YP2500X	Counselor	Professional	180008956	ILLINOIS	No
2	101YP2500X	Counselor	Professional	180008083	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: 5/5/2024

NPI Synchronization or Removal

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