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NPI Code Detail

MEDICARE: LITTLE PINE COUNSELING LLC

MEDICARE: LITTLE PINE COUNSELING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1558054320
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE PINE COUNSELING LLC
Provider Business Mailing Address
First Line : 213 W INSTITUTE PL STE 500
Second Line : 500
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 847-507-1301
Fax Number :
Authorized Official
Title or Position : LCSW
Name : GINA LEE STORTI
Credential : LCSW
Telephone Number : 847-507-1301
Provider Enumeration Date : 05/30/2023
Last Update Date : 03/04/2026

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Directions to “LITTLE PINE COUNSELING LLC ” Practice Location

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