Provider Demographics
NPI:1033784590
Name:TRIUNE COUNSELING SERVICES
Entity Type:Organization
Organization Name:TRIUNE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RENE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPINA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, CADC
Authorized Official - Phone:847-361-3361
Mailing Address - Street 1:38 N BROADWAY ST STE 4
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-2348
Mailing Address - Country:US
Mailing Address - Phone:847-361-3361
Mailing Address - Fax:
Practice Address - Street 1:38 N BROADWAY ST STE 4
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-2348
Practice Address - Country:US
Practice Address - Phone:847-361-3361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty