MEDICARE: CRESTWOOD 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1841147238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRESTWOOD COUNSELING LLC

Provider Business Mailing Address
First Line	:	780 W ARMY TRAIL RD STE 257
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-9297
Country	:	US
Telephone Number	:	630-207-6753
Fax Number	:

Provider Business Practice Location Address
First Line	:	795 HOOVER DR
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-1591
Country	:	US
Telephone Number	:	630-207-6753
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAURA ESPOSITO
Credential	:
Telephone Number	:	630-207-6753

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “CRESTWOOD COUNSELING LLC ” Practice Location

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