Provider Demographics
NPI:1205562808
Name:MAPLE TREE COUNSELING PLLC
Entity type:Organization
Organization Name:MAPLE TREE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLECNIK
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-772-3321
Mailing Address - Street 1:1820 W WEBSTER AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4892
Mailing Address - Country:US
Mailing Address - Phone:312-772-2229
Mailing Address - Fax:
Practice Address - Street 1:1820 W WEBSTER AVE STE 400
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-4892
Practice Address - Country:US
Practice Address - Phone:312-772-3321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty