Provider Demographics
NPI:1861004608
Name:ARTFUL GROWTH COUNSELING PLLC
Entity Type:Organization
Organization Name:ARTFUL GROWTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PICARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, ATR
Authorized Official - Phone:773-704-3719
Mailing Address - Street 1:3759 N RAVENSWOOD AVE STE 132
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-3997
Mailing Address - Country:US
Mailing Address - Phone:773-704-3719
Mailing Address - Fax:
Practice Address - Street 1:3759 N RAVENSWOOD AVE STE 132
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3997
Practice Address - Country:US
Practice Address - Phone:773-704-3719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-22
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty