Provider Demographics
NPI:1548607138
Name:HEALING CONNECTIONS COUNSELING, P.C.
Entity Type:Organization
Organization Name:HEALING CONNECTIONS COUNSELING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-676-6811
Mailing Address - Street 1:13717 S ROUTE 30
Mailing Address - Street 2:153
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-5527
Mailing Address - Country:US
Mailing Address - Phone:815-676-6811
Mailing Address - Fax:815-676-0795
Practice Address - Street 1:13717 S ROUTE 30
Practice Address - Street 2:153
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-5527
Practice Address - Country:US
Practice Address - Phone:815-676-6811
Practice Address - Fax:815-676-0795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008513101YM0800X
IL149.0127371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty