Healthcare Provider Details

I. General information

NPI: 1790553741
Provider Name (Legal Business Name): RIMA MUHSEN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 12/19/2023
Certification Date: 12/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 W BUTTERFIELD RD
ELMHURST IL
60126-5069
US

IV. Provider business mailing address

340 W BUTTERFIELD RD
ELMHURST IL
60126-5069
US

V. Phone/Fax

Practice location:
  • Phone: 331-255-5346
  • Fax: 331-233-1015
Mailing address:
  • Phone: 331-255-5346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.019712
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.019712
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: