Provider Demographics
NPI:1124820469
Name:ABBY BOTTORFF COUNSELING
Entity type:Organization
Organization Name:ABBY BOTTORFF COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOTTORFF
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LCPC, NCC
Authorized Official - Phone:217-622-2324
Mailing Address - Street 1:144 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-1344
Mailing Address - Country:US
Mailing Address - Phone:217-622-2324
Mailing Address - Fax:
Practice Address - Street 1:123 INDIANWOOD BLVD UNIT 791
Practice Address - Street 2:
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-4479
Practice Address - Country:US
Practice Address - Phone:563-293-1402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty