Provider Demographics
NPI:1578161360
Name:EMERGING PATHWAYS COUNSELING PLLC
Entity Type:Organization
Organization Name:EMERGING PATHWAYS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SWATI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKRE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-480-7669
Mailing Address - Street 1:PO BOX 8480
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-8480
Mailing Address - Country:US
Mailing Address - Phone:312-480-7669
Mailing Address - Fax:
Practice Address - Street 1:1604 CHICAGO AVE STE 10
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-6017
Practice Address - Country:US
Practice Address - Phone:312-480-7669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty