| NPI | 1154962876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BENEDETTO Owner, Lpc 847-450-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2023-04-27 |