Provider Demographics
NPI:1053813253
Name:PROJANSKY, BROOKE (MA, LCPC)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:PROJANSKY
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 N MILWAUKEE AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-1359
Mailing Address - Country:US
Mailing Address - Phone:847-242-2370
Mailing Address - Fax:847-589-3369
Practice Address - Street 1:1585 N MILWAUKEE AVE STE 116
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1359
Practice Address - Country:US
Practice Address - Phone:847-242-2370
Practice Address - Fax:847-589-3369
Is Sole Proprietor?:No
Enumeration Date:2018-03-03
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.014108101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional