MEDICARE: ARCADIA 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	:	1861198210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCADIA COUNSELING LLC

Provider Business Mailing Address
First Line	:	380 HILKERT CT
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-5848
Country	:	US
Telephone Number	:	815-762-6347
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 COMMERCE DR STE 300
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-3596
Country	:	US
Telephone Number	:	224-566-7735
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ADAM MARCHIORELLO
Credential	:	LCPC
Telephone Number	:	815-762-6347

Provider Enumeration Date	:	02/06/2023
Last Update Date	:	10/08/2023

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