Healthcare Provider Details

I. General information

NPI: 1750195277
Provider Name (Legal Business Name): AMANDA MICHELLE KUNA PAVELA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA MICHELLE KUNA

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 E WOODFIELD RD STE 330
SCHAUMBURG IL
60173-5128
US

IV. Provider business mailing address

200 E CHICAGO AVE STE 20
WESTMONT IL
60559-1756
US

V. Phone/Fax

Practice location:
  • Phone: 847-592-5588
  • Fax:
Mailing address:
  • Phone: 630-481-4101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.021139
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number1858465
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: