MEDICARE: INWARD OUTLOOK COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1265178842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INWARD OUTLOOK COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	1074 W TAYLOR ST STE 238
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-4336
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1074 W TAYLOR ST STE 238
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-4336
Country	:	US
Telephone Number	:	630-427-4144
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	RENITA SANDERS
Credential	:
Telephone Number	:	630-427-4144

Provider Enumeration Date	:	05/06/2022
Last Update Date	:	06/03/2023

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