Provider Demographics
NPI:1326658402
Name:VENTURA COUNSELING, LLC
Entity Type:Organization
Organization Name:VENTURA COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:P
Authorized Official - Last Name:VENTURA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-343-4414
Mailing Address - Street 1:10240 W ROOSEVELT RD UNIT 7096
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-2004
Mailing Address - Country:US
Mailing Address - Phone:312-343-4414
Mailing Address - Fax:
Practice Address - Street 1:620 MANCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-2714
Practice Address - Country:US
Practice Address - Phone:312-343-4414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health