Provider Demographics
NPI:1518105055
Name:ENCOURAGING CHANGES COUNSELING
Entity Type:Organization
Organization Name:ENCOURAGING CHANGES COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MICETIC
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:815-274-3416
Mailing Address - Street 1:13717 S ROUTE 30
Mailing Address - Street 2:SUITE 159
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-5527
Mailing Address - Country:US
Mailing Address - Phone:815-274-3416
Mailing Address - Fax:815-556-8176
Practice Address - Street 1:13717 S ROUTE 30
Practice Address - Street 2:SUITE 159
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-5527
Practice Address - Country:US
Practice Address - Phone:815-274-3416
Practice Address - Fax:815-556-8176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-21
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006068101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty