Healthcare Provider Details

I. General information

NPI: 1952291973
Provider Name (Legal Business Name): SUSAN CLOSE, LCPC, LMHC PSYCHOTHERAPY & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 S EVERGREEN AVE STE 200
ARLINGTON HEIGHTS IL
60005-7800
US

IV. Provider business mailing address

330 S SCHOOL ST
MOUNT PROSPECT IL
60056-3334
US

V. Phone/Fax

Practice location:
  • Phone: 847-544-0135
  • Fax:
Mailing address:
  • Phone: 847-772-1047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN E CLOSE
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCPC, LMHC
Phone: 847-772-1047