Provider Demographics
NPI:1457814840
Name:NORTH SHORE COUNSELING AND PSYCHOTHERAPY
Entity Type:Organization
Organization Name:NORTH SHORE COUNSELING AND PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:847-784-8690
Mailing Address - Street 1:465 CENTRAL AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-3045
Mailing Address - Country:US
Mailing Address - Phone:847-784-8690
Mailing Address - Fax:847-784-6908
Practice Address - Street 1:465 CENTRAL AVE STE 203
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-3045
Practice Address - Country:US
Practice Address - Phone:847-784-8690
Practice Address - Fax:847-784-6908
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALAN J. LEVY, LCSW, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty