Provider Demographics
NPI:1629837430
Name:VENCES COUNSELING
Entity Type:Organization
Organization Name:VENCES COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:INDIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:VENCES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-450-6190
Mailing Address - Street 1:700 MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-3840
Mailing Address - Country:US
Mailing Address - Phone:847-596-0785
Mailing Address - Fax:
Practice Address - Street 1:117 E PALATINE RD STE 207
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-5130
Practice Address - Country:US
Practice Address - Phone:847-450-6190
Practice Address - Fax:847-450-6197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health