Provider Demographics
NPI:1790117885
Name:LOFT COUNSELING, P.C,
Entity Type:Organization
Organization Name:LOFT COUNSELING, P.C,
Other - Org Name:ERIN DIEDLING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED CLINICAL PROF COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:COLETTE
Authorized Official - Last Name:DIEDLING
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LCPC
Authorized Official - Phone:773-263-3222
Mailing Address - Street 1:1926 W ROSCOE ST
Mailing Address - Street 2:#3S
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1051
Mailing Address - Country:US
Mailing Address - Phone:773-263-3222
Mailing Address - Fax:773-929-6762
Practice Address - Street 1:3523 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-1137
Practice Address - Country:US
Practice Address - Phone:773-263-3222
Practice Address - Fax:773-929-6762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008568101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty