Healthcare Provider Details

I. General information

NPI: 1407320096
Provider Name (Legal Business Name): LAURA LISTENS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 IROQUOIS AVE STE 204
NAPERVILLE IL
60563-8548
US

IV. Provider business mailing address

1260 IROQUOIS AVE STE 204
NAPERVILLE IL
60563-8548
US

V. Phone/Fax

Practice location:
  • Phone: 224-209-1866
  • Fax: 773-241-7946
Mailing address:
  • Phone: 224-209-1866
  • Fax: 773-241-7946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAURA JARAMILLO
Title or Position: OWNER
Credential: LCPC
Phone: 630-291-4470