Healthcare Provider Details
I. General information
NPI: 1518828177
Provider Name (Legal Business Name): MUDITA COUNSELING AND COUNSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3950 N LAKE SHORE DR APT 330
CHICAGO IL
60613-3438
US
IV. Provider business mailing address
3950 N LAKE SHORE DR APT 330
CHICAGO IL
60613-3438
US
V. Phone/Fax
- Phone: 267-528-6181
- Fax:
- Phone: 267-528-6181
- Fax:
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:
SILVANA
LOKA
Title or Position: OWNER/ PSYCHOLOGIST
Credential: PH.D.
Phone: 267-528-6181