Provider Demographics
NPI:1184474231
Name:ASANTE COUNSELING
Entity type:Organization
Organization Name:ASANTE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOSBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-287-5572
Mailing Address - Street 1:6228 N TALMAN AVE UNIT G
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-2752
Mailing Address - Country:US
Mailing Address - Phone:847-287-5572
Mailing Address - Fax:
Practice Address - Street 1:6228 N TALMAN AVE UNIT G
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-2752
Practice Address - Country:US
Practice Address - Phone:847-287-5572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)