Healthcare Provider Details
I. General information
NPI: 1316534340
Provider Name (Legal Business Name): FIND YOUR VOICE COUNSELING & CONSULTATION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/23/2020
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5113 S HARPER AVE STE 2C
CHICAGO IL
60615-4119
US
IV. Provider business mailing address
5113 S HARPER AVE STE 2C
CHICAGO IL
60615-4119
US
V. Phone/Fax
- Phone: 224-407-2763
- Fax:
- Phone: 224-407-2763
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TYLER
JASPER
Title or Position: OWNER
Credential:
Phone: 224-407-2763