Provider Demographics
NPI:1376262493
Name:HARPER GRACE COUNSELING LLC
Entity type:Organization
Organization Name:HARPER GRACE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATORSHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:269-352-0362
Mailing Address - Street 1:1928 BENT GRASS WAY
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-5645
Mailing Address - Country:US
Mailing Address - Phone:708-320-1862
Mailing Address - Fax:773-496-6881
Practice Address - Street 1:55 W 22ND ST STE 305
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-7048
Practice Address - Country:US
Practice Address - Phone:708-320-1862
Practice Address - Fax:773-496-6881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty