Provider Demographics
NPI:1609417625
Name:NUVISIONS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:NUVISIONS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PROFESSIONAL COUN
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GOUDEAU
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:708-743-7347
Mailing Address - Street 1:3402 173RD ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-1306
Mailing Address - Country:US
Mailing Address - Phone:708-743-7347
Mailing Address - Fax:
Practice Address - Street 1:5233 HOHMAN AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-1742
Practice Address - Country:US
Practice Address - Phone:708-270-3147
Practice Address - Fax:219-937-7910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty