Provider Demographics
NPI:1962633909
Name:ADVANCED MIDWEST INSTITUTE FOR COUNSELING AND PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:ADVANCED MIDWEST INSTITUTE FOR COUNSELING AND PSYCHOTHERAPY, LLC
Other - Org Name:AMI COUNSELING, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:6309-270-2061
Mailing Address - Street 1:2011 FESCUE DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4308
Mailing Address - Country:US
Mailing Address - Phone:630-270-2061
Mailing Address - Fax:630-270-2161
Practice Address - Street 1:1717 N NAPER BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8802
Practice Address - Country:US
Practice Address - Phone:630-270-2061
Practice Address - Fax:630-270-2161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180007305101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty