Healthcare Provider Details

I. General information

NPI: 1992645733
Provider Name (Legal Business Name): VILLAGE FAMILY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 E BRIARCLIFF RD
BOLINGBROOK IL
60440-3041
US

IV. Provider business mailing address

185 LILAC ST
BOLINGBROOK IL
60490-2022
US

V. Phone/Fax

Practice location:
  • Phone: 630-360-3113
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ELISABETH SANDERS
Title or Position: MANAGER
Credential: LMFT
Phone: 630-360-3113