Provider Demographics
NPI:1326594672
Name:O2 COUNSELING
Entity Type:Organization
Organization Name:O2 COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMASSINI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:773-800-9620
Mailing Address - Street 1:4765 NORTH LINCOLN
Mailing Address - Street 2:#208
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-2007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4765 NORTH LINCOLN
Practice Address - Street 2:#208
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-2077
Practice Address - Country:US
Practice Address - Phone:312-560-8062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166000995106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty