Provider Demographics
NPI:1043595515
Name:PASSAGES COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:PASSAGES COUNSELING CENTER, INC.
Other - Org Name:CHARLENE THOBE SCOTT, D.B.A PASSAGES COUNSELING CENTER, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:N
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:630-848-0445
Mailing Address - Street 1:710 E OGDEN AVE
Mailing Address - Street 2:330
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8602
Mailing Address - Country:US
Mailing Address - Phone:630-848-0445
Mailing Address - Fax:
Practice Address - Street 1:710 E OGDEN AVE
Practice Address - Street 2:330
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8602
Practice Address - Country:US
Practice Address - Phone:630-848-0445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178006739101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty