Provider Demographics
NPI:1972769867
Name:COHEN, LOUISE ANN (MSW,LCSW)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:ANN
Last Name:COHEN
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 VALLEY LAKE DR.
Mailing Address - Street 2:SUITE 406
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60195-3626
Mailing Address - Country:US
Mailing Address - Phone:847-885-1455
Mailing Address - Fax:
Practice Address - Street 1:1510 VALLEY LAKE DR.
Practice Address - Street 2:SUITE 406
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60195-3626
Practice Address - Country:US
Practice Address - Phone:847-885-1455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149011281101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health