Provider Demographics
NPI:1295215341
Name:EVERYDAY EMPOWERED COUNSELING SERVICES, LTD.
Entity Type:Organization
Organization Name:EVERYDAY EMPOWERED COUNSELING SERVICES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUDEK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-220-5627
Mailing Address - Street 1:5117 MAIN ST # 7
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-4654
Mailing Address - Country:US
Mailing Address - Phone:331-201-2865
Mailing Address - Fax:
Practice Address - Street 1:5117 MAIN ST # 7
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-4654
Practice Address - Country:US
Practice Address - Phone:331-201-2865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071008972261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL071.008972OtherLICENSE CLINICAL PSYCHOLOGIST
IL1982092193OtherINDIVIDUAL NPI