Provider Demographics
NPI:1801508759
Name:COUNSELING CORNER LLC
Entity type:Organization
Organization Name:COUNSELING CORNER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ARCADIA
Authorized Official - Last Name:ROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:224-456-9572
Mailing Address - Street 1:959 S ARLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:ROUND LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60073-5646
Mailing Address - Country:US
Mailing Address - Phone:224-456-9572
Mailing Address - Fax:
Practice Address - Street 1:959 S ARLINGTON DR
Practice Address - Street 2:
Practice Address - City:ROUND LAKE
Practice Address - State:IL
Practice Address - Zip Code:60073-5646
Practice Address - Country:US
Practice Address - Phone:224-456-9572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty