Provider Demographics
NPI:1376251991
Name:RAINBOWTOPIA COUNSELING, PLLC
Entity Type:Organization
Organization Name:RAINBOWTOPIA COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDEROWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:JD, LCPC, LMHC, NCC
Authorized Official - Phone:312-513-7771
Mailing Address - Street 1:332 S MICHIGAN AVE STE 121
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-4302
Mailing Address - Country:US
Mailing Address - Phone:312-513-7771
Mailing Address - Fax:
Practice Address - Street 1:332 S MICHIGAN AVE STE 121
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-4302
Practice Address - Country:US
Practice Address - Phone:312-513-7771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty