Healthcare Provider Details

I. General information

NPI: 1265307532
Provider Name (Legal Business Name): FCS THERAPY AND PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

70 S RIVER ST
AURORA IL
60506-5132
US

IV. Provider business mailing address

70 S RIVER ST
AURORA IL
60506
US

V. Phone/Fax

Practice location:
  • Phone: 630-844-2662
  • Fax:
Mailing address:
  • Phone: 630-844-2662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ERIC WARD
Title or Position: DIRECTOR
Credential: PSYD, LCPC
Phone: 630-844-2662