Provider Demographics
NPI:1568969780
Name:VALENTINI THERAPY LLC
Entity Type:Organization
Organization Name:VALENTINI THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CONCORDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENTINI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-632-5158
Mailing Address - Street 1:1020 E KENILWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-3146
Mailing Address - Country:US
Mailing Address - Phone:630-632-5158
Mailing Address - Fax:
Practice Address - Street 1:400 W ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-2329
Practice Address - Country:US
Practice Address - Phone:630-632-5158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-006131261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health