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NPI Code Detail

MEDICARE: GRT COUNSELING, INC.

MEDICARE: GRT COUNSELING, INC.
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
1101YP2500XProfessional Counselor180.008755IL

General Provider Information

NPI Number : 1639561673
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRT COUNSELING, INC.
Provider Business Mailing Address
First Line : 2640 N WINDSOR DR
Second Line : # 201
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-2745
Country : US
Telephone Number : 847-875-5422
Fax Number :
Provider Business Practice Location Address
First Line : 2640 N WINDSOR DR
Second Line : # 201
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-2745
Country : US
Telephone Number : 847-875-5422
Fax Number :
Authorized Official
Title or Position : FOUNDER/PRESIDENT
Name : MR. GEORGE ROBERT TASEFF
Credential : M.A., LCPC
Telephone Number : 847-875-5422
Provider Enumeration Date : 02/27/2015
Last Update Date : 03/01/2015

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Directions to “GRT COUNSELING, INC. ” Practice Location

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