Provider Demographics
NPI:1346639556
Name:QUINTESS COUNSELING, LLC
Entity Type:Organization
Organization Name:QUINTESS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAKUB
Authorized Official - Middle Name:
Authorized Official - Last Name:OWCA
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-771-3475
Mailing Address - Street 1:53 W JACKSON BLVD STE 426
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-3413
Mailing Address - Country:US
Mailing Address - Phone:312-771-3475
Mailing Address - Fax:773-347-1773
Practice Address - Street 1:53 W JACKSON BLVD
Practice Address - Street 2:STE 622
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3606
Practice Address - Country:US
Practice Address - Phone:847-902-7091
Practice Address - Fax:773-347-1773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180007664101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty