Healthcare Provider Details
I. General information
NPI: 1255228367
Provider Name (Legal Business Name): SONDERFLOW COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/20/2025
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
189 N CATALPA ST
ADDISON IL
60101-5244
US
IV. Provider business mailing address
189 N CATALPA ST
ADDISON IL
60101-5244
US
V. Phone/Fax
- Phone: 630-254-4232
- Fax:
- Phone: 630-254-4232
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
BREANNA
SACCO
Title or Position: OWNER/LCPC
Credential: LCPC
Phone: 630-254-4232