MEDICARE: SYMMETRY 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
1	101YP2500X	Professional Counselor	180007122	IL
2	106H00000X	Marriage & Family Therapist	166000780	IL
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
4	103TC0700X	Clinical Psychologist	071008125	IL

General Provider Information

NPI Number	:	1679865075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYMMETRY COUNSELING, LLC

Provider Business Mailing Address
First Line	:	1 N LA SALLE ST STE 1450
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-4351
Country	:	US
Telephone Number	:	312-578-9990
Fax Number	:	312-275-7663

Provider Business Practice Location Address
First Line	:	1 N LA SALLE ST STE 1450
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-4351
Country	:	US
Telephone Number	:	312-578-9990
Fax Number	:	312-275-7663

Authorized Official
Title or Position	:	OWNER
Name	:	ANNE BRENNAN MALEC
Credential	:
Telephone Number	:	312-578-9990

Provider Enumeration Date	:	05/04/2011
Last Update Date	:	01/21/2026

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