Provider Demographics
NPI:1992187405
Name:PERSAUD, ARTI (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ARTI
Middle Name:
Last Name:PERSAUD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 WILEY RD STE 125
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4354
Mailing Address - Country:US
Mailing Address - Phone:847-240-5080
Mailing Address - Fax:
Practice Address - Street 1:1305 WILEY RD STE 125
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4354
Practice Address - Country:US
Practice Address - Phone:847-240-5080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74359101YP2500X
IL180007872101YP2500X
FLMH12768101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional