Provider Demographics
NPI:1114454162
Name:MOVING TOWARD HEALTH LTD
Entity Type:Organization
Organization Name:MOVING TOWARD HEALTH LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCPC- OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIELE
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:RIBOH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, NCC, BC-DMT
Authorized Official - Phone:847-607-1862
Mailing Address - Street 1:1590 S MILWAUKEE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3748
Mailing Address - Country:US
Mailing Address - Phone:847-607-1862
Mailing Address - Fax:847-984-1890
Practice Address - Street 1:1590 S MILWAUKEE AVE STE 101
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3748
Practice Address - Country:US
Practice Address - Phone:847-607-1862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-20
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL180.010899101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty