Provider Demographics
NPI:1912173493
Name:NEW DIRECTIONS CLINICIAL THERAPY
Entity Type:Organization
Organization Name:NEW DIRECTIONS CLINICIAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:AVERY
Authorized Official - Last Name:COTTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-995-9560
Mailing Address - Street 1:1601 BOND ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-0113
Mailing Address - Country:US
Mailing Address - Phone:630-995-9560
Mailing Address - Fax:630-689-9100
Practice Address - Street 1:1601 BOND ST
Practice Address - Street 2:SUITE 300
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-0113
Practice Address - Country:US
Practice Address - Phone:630-995-9560
Practice Address - Fax:630-689-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490099741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty