Provider Demographics
NPI:1497294904
Name:RECHARGE COUNSELING P.C.
Entity Type:Organization
Organization Name:RECHARGE COUNSELING P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:CLELL
Authorized Official - Last Name:PRENDERGAST
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:309-255-0628
Mailing Address - Street 1:25004 WRIGHT LN
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-5814
Mailing Address - Country:US
Mailing Address - Phone:309-255-0628
Mailing Address - Fax:888-748-1286
Practice Address - Street 1:29 S WEBSTER ST
Practice Address - Street 2:SUITE 290D
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5356
Practice Address - Country:US
Practice Address - Phone:309-255-0628
Practice Address - Fax:888-748-1286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.009848101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty