Healthcare Provider Details
I. General information
NPI: 1225832074
Provider Name (Legal Business Name): ARIADNE'S COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2300 209TH ST
CHICAGO HEIGHTS IL
60411-2311
US
IV. Provider business mailing address
2300 209TH ST
CHICAGO HEIGHTS IL
60411-2311
US
V. Phone/Fax
- Phone: 708-481-7033
- Fax: 708-747-9764
- Phone: 708-481-7033
- Fax: 708-747-9764
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHERIE
ZEVENHOUSE
Title or Position: OWNER
Credential: LPC
Phone: 708-481-7033