Provider Demographics
NPI:1063121465
Name:THROUGH THE WOODS PLLC
Entity type:Organization
Organization Name:THROUGH THE WOODS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:JEANETTE
Authorized Official - Last Name:RABIDEAU
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:331-255-5346
Mailing Address - Street 1:340 W BUTTERFIELD RD
Mailing Address - Street 2:SUITE LLE
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126
Mailing Address - Country:US
Mailing Address - Phone:331-255-5346
Mailing Address - Fax:331-233-1015
Practice Address - Street 1:340 W BUTTERFIELD RD
Practice Address - Street 2:SUITE LLE
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126
Practice Address - Country:US
Practice Address - Phone:331-255-5346
Practice Address - Fax:331-233-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty