Provider Demographics
NPI:1497290613
Name:SATYA COUNSELING PLLC
Entity Type:Organization
Organization Name:SATYA COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:M
Authorized Official - Last Name:JOVICILO
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:773-492-0913
Mailing Address - Street 1:5350 W CARMEN AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-2224
Mailing Address - Country:US
Mailing Address - Phone:773-492-0913
Mailing Address - Fax:708-249-0613
Practice Address - Street 1:4849 N MILWAUKEE AVE STE 503
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2191
Practice Address - Country:US
Practice Address - Phone:773-492-0913
Practice Address - Fax:708-249-0613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-23
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180010117101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty