Provider Demographics
NPI:1346009305
Name:PRINCESSES AND LADIES INC.
Entity Type:Organization
Organization Name:PRINCESSES AND LADIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER, EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINCKE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:224-639-3295
Mailing Address - Street 1:33 N COUNTY ST STE 202A
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-4315
Mailing Address - Country:US
Mailing Address - Phone:224-639-3295
Mailing Address - Fax:
Practice Address - Street 1:33 N COUNTY ST STE 202A
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-4315
Practice Address - Country:US
Practice Address - Phone:224-639-3295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)