Healthcare Provider Details

I. General information

NPI: 1447104450
Provider Name (Legal Business Name): LILAC FAMILY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S ARDMORE AVE
VILLA PARK IL
60181-2614
US

IV. Provider business mailing address

1074 CHERRY LN
LOMBARD IL
60148-4054
US

V. Phone/Fax

Practice location:
  • Phone: 630-240-8585
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KRISTY SCHOLTES
Title or Position: OWNER/CLINICIAN
Credential: LCSW
Phone: 630-296-4060