Healthcare Provider Details

I. General information

NPI: 1902561269
Provider Name (Legal Business Name): SPRING COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 11/19/2021
Certification Date: 11/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N RACINE AVE STE 2040
CHICAGO IL
60614-7006
US

IV. Provider business mailing address

2000 N RACINE AVE STE 2040
CHICAGO IL
60614-7006
US

V. Phone/Fax

Practice location:
  • Phone: 773-715-1676
  • Fax:
Mailing address:
  • Phone: 773-715-1676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALLYSON WOLCOTT
Title or Position: PSYCHOTHERAPIST
Credential: LCPC
Phone: 773-715-1676