Healthcare Provider Details

I. General information

NPI: 1295512432
Provider Name (Legal Business Name): SYMMETRY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S ASHLEY DR STE 600
TAMPA FL
33602-5300
US

IV. Provider business mailing address

1 N LA SALLE ST STE 1450
CHICAGO IL
60602-4351
US

V. Phone/Fax

Practice location:
  • Phone: 312-578-9990
  • Fax:
Mailing address:
  • Phone: 312-578-9990
  • Fax: 312-275-7663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANNE BRENNAN MALEC
Title or Position: CEO
Credential:
Phone: 312-578-9990