Healthcare Provider Details

I. General information

NPI: 1225629116
Provider Name (Legal Business Name): INTUITIVE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2021
Last Update Date: 08/27/2021
Certification Date: 08/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 TRISTATE INTERNATIONAL STE 135
LINCOLNSHIRE IL
60069-4425
US

IV. Provider business mailing address

100 TRISTATE INTERNATIONAL STE 135
LINCOLNSHIRE IL
60069-4425
US

V. Phone/Fax

Practice location:
  • Phone: 216-338-7086
  • Fax:
Mailing address:
  • Phone: 216-338-7086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JENNIE OZAN
Title or Position: OWNER/LICENSED CLINICAL PSYCHOLOGIS
Credential: PSY.D.
Phone: 216-338-7086