Provider Demographics
NPI:1821114794
Name:ASSOCIATES IN COUNSELING & PSYCHOTHERAPY, INC
Entity Type:Organization
Organization Name:ASSOCIATES IN COUNSELING & PSYCHOTHERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRISCO
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:815-730-8900
Mailing Address - Street 1:1520 N ROCK RUN DR
Mailing Address - Street 2:SUITE 22
Mailing Address - City:CREST HILL
Mailing Address - State:IL
Mailing Address - Zip Code:60435-3153
Mailing Address - Country:US
Mailing Address - Phone:815-730-8900
Mailing Address - Fax:815-730-0988
Practice Address - Street 1:1520 N ROCK RUN DR
Practice Address - Street 2:SUITE 22
Practice Address - City:CREST HILL
Practice Address - State:IL
Practice Address - Zip Code:60435-3153
Practice Address - Country:US
Practice Address - Phone:815-730-8900
Practice Address - Fax:815-730-0988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty