Provider Demographics
NPI:1477563641
Name:VCC COUNSELING, INC.
Entity Type:Organization
Organization Name:VCC COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:GURSKY
Authorized Official - Suffix:I
Authorized Official - Credentials:PHD
Authorized Official - Phone:847-488-1999
Mailing Address - Street 1:460 BRIARGATE DR STE 700
Mailing Address - Street 2:
Mailing Address - City:SOUTH ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60177-2284
Mailing Address - Country:US
Mailing Address - Phone:847-488-1999
Mailing Address - Fax:847-488-9797
Practice Address - Street 1:460 BRIARGATE DR STE 700
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-2284
Practice Address - Country:US
Practice Address - Phone:847-488-1999
Practice Address - Fax:847-488-9797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-004160101YP2500X
IL180-004551101YP2500X
IL180-000394101YP2500X
IL180-006174101YP2500X
IL180-006200101YP2500X
IL071-004333103TC0700X
IL149-0073971041C0700X
IL149-0097441041C0700X
IL166-000559106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty