Provider Demographics
NPI:1083152920
Name:INSTITUTE FOR SOCIAL AND EMOTIONAL LEARNING
Entity Type:Organization
Organization Name:INSTITUTE FOR SOCIAL AND EMOTIONAL LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:NICOLLE
Authorized Official - Last Name:ARSENEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:779-260-0520
Mailing Address - Street 1:PO BOX 2199
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-1199
Mailing Address - Country:US
Mailing Address - Phone:815-603-2425
Mailing Address - Fax:
Practice Address - Street 1:206 CHESTERFIELD CT
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-9652
Practice Address - Country:US
Practice Address - Phone:815-603-2425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-10
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty