Provider Demographics
NPI:1821294133
Name:TRICON COUNSELING CENTERS, INC.
Entity Type:Organization
Organization Name:TRICON COUNSELING CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:ORDLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-933-9556
Mailing Address - Street 1:380 S SCHMALE RD
Mailing Address - Street 2:SUITE 140B
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-2791
Mailing Address - Country:US
Mailing Address - Phone:630-933-9556
Mailing Address - Fax:630-933-9056
Practice Address - Street 1:380 S SCHMALE RD
Practice Address - Street 2:SUITE 140B
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2791
Practice Address - Country:US
Practice Address - Phone:630-933-9556
Practice Address - Fax:630-933-9056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-23
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILA43830001A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health