Healthcare Provider Details

I. General information

NPI: 1689504276
Provider Name (Legal Business Name): BEYOND ART THERAPY & COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16595 W EASTON AVE STE 2E
PRAIRIE VIEW IL
60069-2744
US

IV. Provider business mailing address

16595 W EASTON AVE STE 2E
PRAIRIE VIEW IL
60069-2744
US

V. Phone/Fax

Practice location:
  • Phone: 224-352-0242
  • Fax:
Mailing address:
  • Phone: 224-352-0242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. TERESA GREGORY
Title or Position: MANAGER/PSYCHOTHERAPIST
Credential: LCPC, ATR
Phone: 224-352-0242