Healthcare Provider Details

I. General information

NPI: 1609704329
Provider Name (Legal Business Name): CONSILIA BEHAVIORAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5228 S PARKSIDE AVE
CHICAGO IL
60638-1524
US

IV. Provider business mailing address

5228 S PARKSIDE AVE
CHICAGO IL
60638-1524
US

V. Phone/Fax

Practice location:
  • Phone: 857-574-5085
  • Fax: 857-855-0025
Mailing address:
  • Phone: 857-574-5085
  • Fax: 857-855-0025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. LIZETTE SOLIS-CORTES
Title or Position: CO-FOUNDER
Credential: LCPC
Phone: 857-574-5085