Healthcare Provider Details

I. General information

NPI: 1053021584
Provider Name (Legal Business Name): LIVIA COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2022
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

943 MAPLE AVE
DOWNERS GROVE IL
60515-4973
US

IV. Provider business mailing address

943 MAPLE AVE
DOWNERS GROVE IL
60515-4973
US

V. Phone/Fax

Practice location:
  • Phone: 708-713-5894
  • Fax:
Mailing address:
  • Phone: 708-713-5894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SARA REED
Title or Position: OWNER OF BUSINESS
Credential:
Phone: 773-209-5932