Provider Demographics
NPI:1659833861
Name:LAKESHORE COUNSELING GROUP, PLLC
Entity Type:Organization
Organization Name:LAKESHORE COUNSELING GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RANIERI
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-776-2230
Mailing Address - Street 1:2001 N HALSTED ST STE 203
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4365
Mailing Address - Country:US
Mailing Address - Phone:224-599-4777
Mailing Address - Fax:224-366-2583
Practice Address - Street 1:2001 N HALSTED ST STE 203
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-4365
Practice Address - Country:US
Practice Address - Phone:224-599-4777
Practice Address - Fax:224-366-2583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health