Provider Demographics
NPI:1447795455
Name:GIELNIEWSKI, STEPHANIE HELENA (LPC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:HELENA
Last Name:GIELNIEWSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:HELENA
Other - Last Name:GIELNIEWSKI-ZAWADZKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:6935 N MILWAUKEE AVE
Mailing Address - Street 2:APT. # 108
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-4546
Mailing Address - Country:US
Mailing Address - Phone:773-988-6364
Mailing Address - Fax:
Practice Address - Street 1:6650 N NORTHWEST HWY
Practice Address - Street 2:SUITE 215
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-1307
Practice Address - Country:US
Practice Address - Phone:773-313-3757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.012682101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional