Healthcare Provider Details

I. General information

NPI: 1386233591
Provider Name (Legal Business Name): FEEL GOOD COUNSELING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2021
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 W HIGGINS RD STE 610
SOUTH BARRINGTON IL
60010-9387
US

IV. Provider business mailing address

13 HAWTHORNE RD
BARRINGTON IL
60010-5321
US

V. Phone/Fax

Practice location:
  • Phone: 773-280-7405
  • 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
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESSICA MARIE MILLER
Title or Position: OWNER
Credential: LCPC
Phone: 773-280-7408