Healthcare Provider Details

I. General information

NPI: 1962399584
Provider Name (Legal Business Name): LITTLE DRAGONS PEDIATRIC COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1938 E LINCOLN HWY STE 216
NEW LENOX IL
60451-3835
US

IV. Provider business mailing address

1938 E LINCOLN HWY STE 216
NEW LENOX IL
60451-3835
US

V. Phone/Fax

Practice location:
  • Phone: 708-567-4563
  • Fax:
Mailing address:
  • Phone: 815-320-9863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: NARIMA SPENCER
Title or Position: MANAGER
Credential:
Phone: 815-320-9863