Provider Demographics
NPI:1356058390
Name:ALICIA ROWLEY COUNSELING AND CONSULTING IL, PLLC
Entity type:Organization
Organization Name:ALICIA ROWLEY COUNSELING AND CONSULTING IL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LMHC
Authorized Official - Phone:515-612-8228
Mailing Address - Street 1:1740 RIDGE AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-5908
Mailing Address - Country:US
Mailing Address - Phone:515-612-8228
Mailing Address - Fax:
Practice Address - Street 1:1740 RIDGE AVE STE 111
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-5908
Practice Address - Country:US
Practice Address - Phone:515-612-8228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health