Provider Demographics
NPI:1437243094
Name:ARLINGTON COUNSELING ASSOCIATES, LTD
Entity Type:Organization
Organization Name:ARLINGTON COUNSELING ASSOCIATES, LTD
Other - Org Name:THE ARLINGTON CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:GOFF
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:847-577-4530
Mailing Address - Street 1:3375 N ARLINGTON HEIGHTS ROAD
Mailing Address - Street 2:SUITE F
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004
Mailing Address - Country:US
Mailing Address - Phone:847-577-4530
Mailing Address - Fax:847-577-4306
Practice Address - Street 1:3375 N ARLINGTON HEIGHTS ROAD
Practice Address - Street 2:SUITE F
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004
Practice Address - Country:US
Practice Address - Phone:847-577-4530
Practice Address - Fax:847-577-4306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01497805055OtherIND PROVIDER #