Healthcare Provider Details

I. General information

NPI: 1700708708
Provider Name (Legal Business Name): YASHODHRA ARORA LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5035 S EAST END AVE APT 2101S
CHICAGO IL
60615-0053
US

IV. Provider business mailing address

5035 S EAST END AVE APT 2101S
CHICAGO IL
60615-0053
US

V. Phone/Fax

Practice location:
  • Phone: 708-683-9725
  • Fax:
Mailing address:
  • Phone: 708-683-9725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.018604
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: