MEDICARE: ENVISION COUNSELING PLLC

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
1	101YM0800X	Mental Health Counselor	180009958	IL

General Provider Information

NPI Number	:	1679089569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENVISION COUNSELING PLLC

Provider Business Mailing Address
First Line	:	53 W JACKSON BLVD STE 1439
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60604-3539
Country	:	US
Telephone Number	:	773-209-1984
Fax Number	:

Provider Business Practice Location Address
First Line	:	53 W JACKSON BLVD STE 1439
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60604-3539
Country	:	US
Telephone Number	:	773-209-1984
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST AND OWNER
Name	:	MRS. GRACIE BATES-DAVIS
Credential	:	LCPC
Telephone Number	:	773-209-1984

Provider Enumeration Date	:	12/14/2017
Last Update Date	:	11/20/2023

Similar Medicare Providers

1336253889 — DR. MICHAEL SCULLEY O.D.
Practice Location Address:

3539 N SOUTHPORT AVE
CHICAGO, IL
60657-6447

Practice Phone: 773-871-2020
Practice Fax:

1033225743 — DR. CASEY JAMES CRUMBLISS O.D.
Practice Location Address:

3539 N SOUTHPORT AVE
CHICAGO, IL
60657-6447

Practice Phone: 773-871-2020
Practice Fax: 773-871-2099

1639302383 — SOUTHPORT EYE ASSOCIATES LTD
Practice Location Address:

3539 N SOUTHPORT AVE
CHICAGO, IL
60657

Practice Phone: 773-871-2020
Practice Fax: 773-871-2099

1639613110 — MISS KAILA ROSE KOCH
Practice Location Address:

11257 S TRUMBULL AVE
CHICAGO, IL
60655-3539

Practice Phone: 773-470-7268
Practice Fax:

1437639473 — THAMANI
Practice Location Address:

3036 W IRVING PARK RD
CHICAGO, IL
60618-3539

Practice Phone: 773-270-2150
Practice Fax:

1689272304 — VICTORIA ANNETTE BARROWS MA
Practice Location Address:

3036 W IRVING PARK RD FL 2
CHICAGO, IL
60618-3539

Practice Phone: 773-270-2150
Practice Fax:

Directions to “ENVISION COUNSELING PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.