Provider Demographics
NPI:1225492846
Name:GUIDING BEHAVIOR COUNSELING, PLLC
Entity Type:Organization
Organization Name:GUIDING BEHAVIOR COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW, BCBA
Authorized Official - Prefix:
Authorized Official - First Name:GINNY
Authorized Official - Middle Name:GRIFFIN
Authorized Official - Last Name:NIKIFOROS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, BCBA
Authorized Official - Phone:773-726-4832
Mailing Address - Street 1:2850 N ROCKWELL ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-7804
Mailing Address - Country:US
Mailing Address - Phone:773-726-4832
Mailing Address - Fax:
Practice Address - Street 1:2923 N MILWAUKEE AVE UNIT 306
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-7886
Practice Address - Country:US
Practice Address - Phone:773-726-4832
Practice Address - Fax:773-409-5458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-09
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1-14-17879103K00000X
IL1490152681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty