LAVENDER MOON SELF ILLUMINATING COUNSELING SERVICES PLLC

CHICAGO, IL
NPI1558189076
Entity TypeOrganization
Authorized ContactTAYLOR QUINN
Owner/Lcpc
708-504-2528
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2024-10-02
Last Update Date2025-04-17
Business Address
LAVENDER MOON SELF ILLUMINATING COUNSELING SERVICES PLLC
1400 W RANDOLPH ST UNIT 1002
CHICAGO, IL 60607-1433
Phone number: 708-918-4456
Mailing Address
LAVENDER MOON SELF ILLUMINATING COUNSELING SERVICES PLLC
11430 LAKEBROOK CT
ORLAND PARK, IL 60467-8506
Phone number: