Healthcare Provider Details

I. General information

NPI: 1376488254
Provider Name (Legal Business Name): FORESIGHT CLINICAL COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17755 PARK BLVD APT 1C
LANSING IL
60438-1942
US

IV. Provider business mailing address

17755 PARK BLVD APT 1C
LANSING IL
60438-1942
US

V. Phone/Fax

Practice location:
  • Phone: 708-513-2731
  • Fax:
Mailing address:
  • Phone: 708-513-2731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. ELWIN TRAMMELL II
Title or Position: OWNER
Credential: LCSW
Phone: 708-513-2731