Provider Demographics
NPI:1003580010
Name:SAGE STONE COUNSELING LTD
Entity Type:Organization
Organization Name:SAGE STONE COUNSELING LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANCATO
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-351-4225
Mailing Address - Street 1:50 N BROCKWAY ST STE 3-1
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-5068
Mailing Address - Country:US
Mailing Address - Phone:312-351-4225
Mailing Address - Fax:312-244-3060
Practice Address - Street 1:50 N BROCKWAY ST STE 3-1
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-5068
Practice Address - Country:US
Practice Address - Phone:312-351-4225
Practice Address - Fax:312-244-3060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1811306251OtherLAUREN BRANCATO LCPC