MEDICARE: AFFIRMATION COUNSELING PROJECT

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1427820711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFIRMATION COUNSELING PROJECT

Provider Business Mailing Address
First Line	:	7030 N OAKLEY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-3408
Country	:	US
Telephone Number	:	608-769-3313
Fax Number	:

Provider Business Practice Location Address
First Line	:	7030 N OAKLEY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-3408
Country	:	US
Telephone Number	:	608-769-3313
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CAROLYN LEACH
Credential	:	MS
Telephone Number	:	608-769-3313

Provider Enumeration Date	:	10/30/2023
Last Update Date	:	07/23/2025

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Directions to “AFFIRMATION COUNSELING PROJECT ” Practice Location

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