Healthcare Provider Details

I. General information

NPI: 1669222477
Provider Name (Legal Business Name): LIMINAL HORIZONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 03/25/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 W FRONTAGE RD STE 700
NORTHFIELD IL
60093-1204
US

IV. Provider business mailing address

1621 SEWARD ST
EVANSTON IL
60202-2023
US

V. Phone/Fax

Practice location:
  • Phone: 184-773-9770
  • Fax:
Mailing address:
  • Phone: 847-691-5872
  • Fax: 847-739-7599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MEREDITH ALGER
Title or Position: PSYCHOTHERAPIST AND FOUNDER
Credential: LCSW
Phone: 847-739-7700