Provider Demographics
NPI:1376958074
Name:DECISION POINT COUNSELING AND CAREER CENTER
Entity Type:Organization
Organization Name:DECISION POINT COUNSELING AND CAREER CENTER
Other - Org Name:SANCTUARY CHRISTIAN COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ HEAD COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCPC
Authorized Official - Phone:312-218-8483
Mailing Address - Street 1:25140 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:IL
Mailing Address - Zip Code:60442-1403
Mailing Address - Country:US
Mailing Address - Phone:312-218-8483
Mailing Address - Fax:708-331-8670
Practice Address - Street 1:16284 PRINCE DR
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-3233
Practice Address - Country:US
Practice Address - Phone:312-218-8483
Practice Address - Fax:708-331-8670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.005749101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty