Provider Demographics
NPI:1467883520
Name:THE CHOICE IS YOURS COUNSELING, LLC
Entity Type:Organization
Organization Name:THE CHOICE IS YOURS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-991-1677
Mailing Address - Street 1:1800 PRAIRIE AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-3313
Mailing Address - Country:US
Mailing Address - Phone:630-991-1677
Mailing Address - Fax:630-968-6840
Practice Address - Street 1:1800 PRAIRIE AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-3313
Practice Address - Country:US
Practice Address - Phone:630-991-1677
Practice Address - Fax:630-968-6840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006928101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1396040150OtherINDIVIDUAL NPI