Healthcare Provider Details

I. General information

NPI: 1972421501
Provider Name (Legal Business Name): REENCUENTRO COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 N RIVERSIDE DR STE 207
GURNEE IL
60031-5918
US

IV. Provider business mailing address

501 N RIVERSIDE DR STE 207
GURNEE IL
60031-5918
US

V. Phone/Fax

Practice location:
  • Phone: 224-339-8174
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SONIA M RIOS ALBARRAN
Title or Position: THERAPIST/OWNER
Credential: LSW
Phone: 224-339-8174