Provider Demographics
NPI:1235253824
Name:THE ART OF LIVING COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:THE ART OF LIVING COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MESMER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC
Authorized Official - Phone:815-444-9076
Mailing Address - Street 1:900 PYOTT RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-8716
Mailing Address - Country:US
Mailing Address - Phone:815-444-9076
Mailing Address - Fax:815-444-9079
Practice Address - Street 1:900 PYOTT RD
Practice Address - Street 2:SUITE 102
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-8716
Practice Address - Country:US
Practice Address - Phone:815-444-9076
Practice Address - Fax:815-444-9079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X, 101YP2500X, 101YP2500X, 101YP2500X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2036825OtherCIGNA PROVIDER NUMBER
IL05632103OtherBCBS PROVIDER ID #