NPI Code Detail JSON Logo

1790651081 NPI number — ACHE AND AWE THERAPY, PLLC

NPI Number: 1790651081
Health Care Provider/Practitioner: ACHE AND AWE THERAPY, PLLC

Information about “1790651081” NPI (ACHE AND AWE THERAPY, PLLC) exists in 1790651081 in HTML format HTML  |  1790651081 in plain Text format TXT  |  1790651081 in PDF (Portable Document Format) PDF  |  1790651081 in an XML format XML  formats.

NPI Number : 1790651081 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790651081",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ACHE AND AWE THERAPY, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7199 S KINGERY HWY # 1103",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILLOWBROOK",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60527-5525",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "515-554-8131",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2231 MIDHURST RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DOWNERS GROVE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60516-2539",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "515-554-8131",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/14/2025",
    "LastUpdateDate": "10/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GLEASON",
    "AuthorizedOfficialFirstName": "ELIZABETH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "FOUNDER, PSYCHOTHERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCPC, PMHC",
    "AuthorizedOfficialTelephoneNumber": "515-554-8131",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.