Healthcare Provider Details

I. General information

NPI: 1013328046
Provider Name (Legal Business Name): GARIMAA RESHMA GUPTA LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2014
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E OGDEN AVE STE 106
HINSDALE IL
60521-3686
US

IV. Provider business mailing address

201 E OGDEN AVE STE 106
HINSDALE IL
60521-3686
US

V. Phone/Fax

Practice location:
  • Phone: 855-586-1802
  • Fax:
Mailing address:
  • Phone: 855-586-1802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.012407
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: