Healthcare Provider Details

I. General information

NPI: 1962324186
Provider Name (Legal Business Name): LLA COUNSELING AND CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S MCHENRY AVE STE B
CRYSTAL LAKE IL
60014-7487
US

IV. Provider business mailing address

800 S MCHENRY AVE STE B
CRYSTAL LAKE IL
60014-7487
US

V. Phone/Fax

Practice location:
  • Phone: 312-772-3965
  • Fax:
Mailing address:
  • Phone: 312-772-3965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LAURA MARKOYA
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 312-772-3965