NPI Code Details Logo

NPI 1659789493

NPI 1659789493 : FAMILY COUNSELING SERVICE OF AURORA : AURORA, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1659789493
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    FAMILY COUNSELING SERVICE OF AURORA 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/24/2014
-----------------------------------------------------
    Last Update Date     |    10/31/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    70 S RIVER ST 
-----------------------------------------------------
    City                 |    AURORA
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60506-5185
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    630-844-2662
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    70 S RIVER ST 
-----------------------------------------------------
    City                 |    AURORA
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60506-5185
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    360-844-2662
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    HUMAN RESOURCES COORDINATOR
-----------------------------------------------------
    Name                 |     WENDY  DATSKOVSKIY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    630-844-2662
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.