Healthcare Provider Details

I. General information

NPI: 1811612005
Provider Name (Legal Business Name): COMPREHENSIVE COUNSELING CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2022
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 DEVONSHIRE DR STE 210
CHAMPAIGN IL
61820-7337
US

IV. Provider business mailing address

701 DEVONSHIRE DR STE 210
CHAMPAIGN IL
61820-7337
US

V. Phone/Fax

Practice location:
  • Phone: 847-533-5340
  • Fax:
Mailing address:
  • Phone: 847-533-5340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELLEN ZIMMERMAN
Title or Position: OWNER/CLINCIAN
Credential: LCPC
Phone: 847-533-5340