Provider Demographics
NPI:1639064587
Name:EMERGENT SELF COUNSELING SERVICES INC
Entity type:Organization
Organization Name:EMERGENT SELF COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCPC, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:COURET
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCPC
Authorized Official - Phone:872-238-0927
Mailing Address - Street 1:309 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:BENSENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60106-3190
Mailing Address - Country:US
Mailing Address - Phone:872-238-0927
Mailing Address - Fax:
Practice Address - Street 1:309 GEORGE ST
Practice Address - Street 2:
Practice Address - City:BENSENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60106-3190
Practice Address - Country:US
Practice Address - Phone:872-238-0927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty