Provider Demographics
NPI:1467933663
Name:THE KNOT CONSULTING
Entity Type:Organization
Organization Name:THE KNOT CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LORA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN ARSDELL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD LCSW
Authorized Official - Phone:630-258-8059
Mailing Address - Street 1:5 REVERE DRIVE STE 200, PMB 2100
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062
Mailing Address - Country:US
Mailing Address - Phone:630-258-8059
Mailing Address - Fax:844-629-5618
Practice Address - Street 1:5 REVERE DR STE 200
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-8000
Practice Address - Country:US
Practice Address - Phone:630-258-8059
Practice Address - Fax:844-629-5618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-24
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1558769109OtherNPI
IL1558769109Medicaid