Provider Demographics
NPI:1114395985
Name:LATIFI, SABAAHATH NOOR (LCPC)
Entity Type:Individual
Prefix:MS
First Name:SABAAHATH
Middle Name:NOOR
Last Name:LATIFI
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 BRIARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1835
Mailing Address - Country:US
Mailing Address - Phone:630-205-7188
Mailing Address - Fax:
Practice Address - Street 1:330 BRIARWOOD LN
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1835
Practice Address - Country:US
Practice Address - Phone:630-205-7188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.011175101YP2500X
IL178.010934101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor