=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982576336
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL EROUND COUNSELING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/23/2025
-----------------------------------------------------
Last Update Date | 09/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10336 S WESTERN AVE
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60643-2407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 872-267-2550
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10208 S INDIANAPOLIS AVE STE 358
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60617-6033
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 872-267-2550
-----------------------------------------------------
Fax | 872-266-0030
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ CLINICIAN
-----------------------------------------------------
Name | ERICKA WHITLEY
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 872-267-2550
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------