Healthcare Provider Details

I. General information

NPI: 1578046579
Provider Name (Legal Business Name): COURTNEY LAUREN HOLBROOK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2018
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 W HIGGINS RD STE 160
HOFFMAN ESTATES IL
60169-7249
US

IV. Provider business mailing address

207 REGENCY DR APT 539
BLOOMINGDALE IL
60108-2145
US

V. Phone/Fax

Practice location:
  • Phone: 773-945-6819
  • Fax:
Mailing address:
  • Phone: 630-277-7598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.023054
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: