Provider Demographics
NPI:1467152579
Name:THE PRESENT CC, PLLC
Entity Type:Organization
Organization Name:THE PRESENT CC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANASTAZJA
Authorized Official - Middle Name:
Authorized Official - Last Name:VARAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-366-1533
Mailing Address - Street 1:810 E OLD WILLOW RD APT 210
Mailing Address - Street 2:
Mailing Address - City:PROSPECT HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60070-2104
Mailing Address - Country:US
Mailing Address - Phone:773-366-1533
Mailing Address - Fax:
Practice Address - Street 1:810 E OLD WILLOW RD APT 210
Practice Address - Street 2:
Practice Address - City:PROSPECT HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60070-2104
Practice Address - Country:US
Practice Address - Phone:773-366-1533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty