Provider Demographics
NPI:1770928939
Name:BARRINGTON CENTER FOR MARRIAGE & FAMILY THERAPY, LLC
Entity type:Organization
Organization Name:BARRINGTON CENTER FOR MARRIAGE & FAMILY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAGRANS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:330-472-4540
Mailing Address - Street 1:4440 HARBOR CIR
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-1012
Mailing Address - Country:US
Mailing Address - Phone:330-472-4540
Mailing Address - Fax:847-220-9299
Practice Address - Street 1:18 E. DUNDEE
Practice Address - Street 2:BUILDING 4, SUITE 100
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-4914
Practice Address - Country:US
Practice Address - Phone:330-472-4540
Practice Address - Fax:847-220-9299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166000758106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty