Healthcare Provider Details

I. General information

NPI: 1831917905
Provider Name (Legal Business Name): LLAMASTE COUNSELING GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2024
Last Update Date: 09/28/2024
Certification Date: 09/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 E MAIN ST STE 208
BARRINGTON IL
60010-3203
US

IV. Provider business mailing address

330 E MAIN ST STE 208
BARRINGTON IL
60010-3203
US

V. Phone/Fax

Practice location:
  • Phone: 847-637-6700
  • Fax:
Mailing address:
  • Phone:
  • 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: CLAUDIA MAZZANTI
Title or Position: OWNER
Credential: LCPC
Phone: 847-637-6700