Healthcare Provider Details

I. General information

NPI: 1134075443
Provider Name (Legal Business Name): FARRAH STEPHEN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1452 BLUME DR
ELGIN IL
60124-8719
US

IV. Provider business mailing address

1452 BLUME DR
ELGIN IL
60124-8719
US

V. Phone/Fax

Practice location:
  • Phone: 847-220-6768
  • Fax:
Mailing address:
  • Phone: 847-220-6768
  • 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: MS. FARRAH STEPHEN
Title or Position: MENTAL HEALTH THERAPIST
Credential: LCPC
Phone: 847-322-7634