Healthcare Provider Details

I. General information

NPI: 1730575184
Provider Name (Legal Business Name): ACTION CONSULTING AND THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 01/31/2024
Certification Date: 01/03/2022
Deactivation Date: 10/25/2023
Reactivation Date: 01/16/2024

III. Provider practice location address

321 HAMILTON STREET
GENEVA IL
60134
US

IV. Provider business mailing address

PO BOX 1091
ST. CHARLES IL
60174
US

V. Phone/Fax

Practice location:
  • Phone: 847-867-8936
  • Fax:
Mailing address:
  • Phone: 630-686-2282
  • Fax: 630-524-9116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149007034
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number180006835
License Number StateIL

VIII. Authorized Official

Name: SARAH LLOYD
Title or Position: OWNER AND DIRECTOR
Credential: LCPC, CADC
Phone: 815-766-1719