Healthcare Provider Details

I. General information

NPI: 1033637293
Provider Name (Legal Business Name): CURRY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10024 SKOKIE BLVD STE 211
SKOKIE IL
60077-9944
US

IV. Provider business mailing address

10024 SKOKIE BLVD STE 211
SKOKIE IL
60077-9944
US

V. Phone/Fax

Practice location:
  • Phone: 312-919-0002
  • Fax: 224-233-1011
Mailing address:
  • Phone: 312-919-0002
  • Fax: 224-233-1011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number149012517
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149012517
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number166001134
License Number StateIL

VIII. Authorized Official

Name: LAURA CURRY
Title or Position: THERAPIST
Credential: LCSW
Phone: 312-919-0002