Healthcare Provider Details

I. General information

NPI: 1144088022
Provider Name (Legal Business Name): SALERNO COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2024
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 HARRISON ST APT 2
OAK PARK IL
60304-1686
US

IV. Provider business mailing address

101 HARRISON ST APT 2
OAK PARK IL
60304-1686
US

V. Phone/Fax

Practice location:
  • Phone: 630-363-2592
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROSINA SALERNO
Title or Position: OWNER
Credential:
Phone: 630-363-2592