Provider Demographics
NPI:1063664589
Name:VIVIENNE A OSKVAREK LTD
Entity Type:Organization
Organization Name:VIVIENNE A OSKVAREK LTD
Other - Org Name:PSYCHOLOGICAL WELLNESS PRACTICE, LTD.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIENNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSKVAREK
Authorized Official - Suffix:
Authorized Official - Credentials:MA LCPC CADC MISA II
Authorized Official - Phone:708-606-4725
Mailing Address - Street 1:9940 LA REINA CT
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-3138
Mailing Address - Country:US
Mailing Address - Phone:708-606-4725
Mailing Address - Fax:708-460-3688
Practice Address - Street 1:200 N HAMMES AVE
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6677
Practice Address - Country:US
Practice Address - Phone:708-606-4725
Practice Address - Fax:708-460-3688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006273101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty