Healthcare Provider Details

I. General information

NPI: 1982526299
Provider Name (Legal Business Name): NOTES TO SELF COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 S ROUTE 31 #226
MCHENRY IL
60050-7499
US

IV. Provider business mailing address

518 S ROUTE 31 #226
MCHENRY IL
60050-7499
US

V. Phone/Fax

Practice location:
  • Phone: 815-934-8343
  • Fax:
Mailing address:
  • Phone: 815-934-8343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: NICOLE TREADWAY
Title or Position: THERAPIST
Credential:
Phone: 815-934-8343