Provider Demographics
NPI:1760069751
Name:PANAHI COUNSELING, P.C.
Entity Type:Organization
Organization Name:PANAHI COUNSELING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:PANAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-447-8818
Mailing Address - Street 1:128 S COUNTY FARM RD STE C
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-2400
Mailing Address - Country:US
Mailing Address - Phone:630-447-8818
Mailing Address - Fax:
Practice Address - Street 1:128 S COUNTY FARM RD STE C
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-2400
Practice Address - Country:US
Practice Address - Phone:630-447-8818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty