Provider Demographics
NPI:1619303666
Name:EXISTENTIAL COUNSELOR SOCIET LTD.
Entity Type:Organization
Organization Name:EXISTENTIAL COUNSELOR SOCIET LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:BIPIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCPC
Authorized Official - Phone:708-250-0520
Mailing Address - Street 1:2319 MANHATTAN RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60433-8605
Mailing Address - Country:US
Mailing Address - Phone:708-250-0520
Mailing Address - Fax:
Practice Address - Street 1:2319 MANHATTAN RD
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60433-8605
Practice Address - Country:US
Practice Address - Phone:708-223-2698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit