Healthcare Provider Details

I. General information

NPI: 1033923941
Provider Name (Legal Business Name): BEAL CONSULTING AND COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3540 SEVEN BRIDGES DR STE 330
WOODRIDGE IL
60517-1222
US

IV. Provider business mailing address

3540 SEVEN BRIDGES DR STE 330
WOODRIDGE IL
60517-1222
US

V. Phone/Fax

Practice location:
  • Phone: 708-232-8550
  • Fax:
Mailing address:
  • Phone: 708-232-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. AMBER BEAL
Title or Position: OWNER
Credential: PSYD
Phone: 708-232-8550