Provider Demographics
NPI:1710490586
Name:MAINSPRING COUNSELING AND COACHING
Entity Type:Organization
Organization Name:MAINSPRING COUNSELING AND COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASMA
Authorized Official - Middle Name:
Authorized Official - Last Name:AFRIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-656-2508
Mailing Address - Street 1:1365 35TH ST
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1417
Mailing Address - Country:US
Mailing Address - Phone:630-963-1041
Mailing Address - Fax:
Practice Address - Street 1:900 JORIE BLVD STE 36
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2291
Practice Address - Country:US
Practice Address - Phone:630-656-2508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.011013101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty