Provider Demographics
NPI:1376367136
Name:MIHEVC COUNSELING LLC
Entity type:Organization
Organization Name:MIHEVC COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MIHEVC
Authorized Official - Last Name:MIHEVC
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:224-202-3009
Mailing Address - Street 1:290 N WESTGATE RD APT 102
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-2663
Mailing Address - Country:US
Mailing Address - Phone:224-202-3009
Mailing Address - Fax:
Practice Address - Street 1:290 N WESTGATE RD APT 102
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-2663
Practice Address - Country:US
Practice Address - Phone:224-202-3009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty