Healthcare Provider Details
I. General information
NPI: 1588543516
Provider Name (Legal Business Name): SAGE DARLING MA, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/02/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1811 W NORTH AVE STE 402
CHICAGO IL
60622-0204
US
IV. Provider business mailing address
155 N MICHIGAN AVE STE 707
CHICAGO IL
60601-7706
US
V. Phone/Fax
- Phone: 312-819-7381
- Fax:
- Phone: 312-819-7381
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 178.033549 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: