Provider Demographics
NPI:1619237872
Name:SOFT LANDING INTERVENTIONS
Entity Type:Organization
Organization Name:SOFT LANDING INTERVENTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:TEWS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LCPC, CADC,
Authorized Official - Phone:630-261-9220
Mailing Address - Street 1:1S224 SUMMIT AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3983
Mailing Address - Country:US
Mailing Address - Phone:630-261-9220
Mailing Address - Fax:630-261-9049
Practice Address - Street 1:1S224 SUMMIT AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3983
Practice Address - Country:US
Practice Address - Phone:630-261-9220
Practice Address - Fax:630-261-9049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.005529251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health