Healthcare Provider Details

I. General information

NPI: 1568907723
Provider Name (Legal Business Name): SONIA F FERRER M.A; LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2016
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 S CALIFORNIA AVE
CHICAGO IL
60632-2016
US

IV. Provider business mailing address

131 W DREXEL PKWY
RENSSELAER IN
47978-7344
US

V. Phone/Fax

Practice location:
  • Phone: 773-584-6200
  • Fax: 844-285-1003
Mailing address:
  • Phone: 219-866-4194
  • Fax: 219-866-4197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39002980A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: