Provider Demographics
NPI:1447558291
Name:ALLIANCE COUNSELING & COACHING
Entity Type:Organization
Organization Name:ALLIANCE COUNSELING & COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:815-467-8181
Mailing Address - Street 1:23157 S THOMAS DILLON DR
Mailing Address - Street 2:
Mailing Address - City:CHANNAHON
Mailing Address - State:IL
Mailing Address - Zip Code:60410-3132
Mailing Address - Country:US
Mailing Address - Phone:815-467-8181
Mailing Address - Fax:815-828-5696
Practice Address - Street 1:23157 S THOMAS DILLON DR
Practice Address - Street 2:
Practice Address - City:CHANNAHON
Practice Address - State:IL
Practice Address - Zip Code:60410-3132
Practice Address - Country:US
Practice Address - Phone:815-467-8181
Practice Address - Fax:815-828-5696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006876101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty