Provider Demographics
NPI:1285269753
Name:RESILIENCE COUNSELING LLC
Entity type:Organization
Organization Name:RESILIENCE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRIMARY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC
Authorized Official - Phone:312-761-8800
Mailing Address - Street 1:1834 W 22ND PL FL 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-4302
Mailing Address - Country:US
Mailing Address - Phone:484-553-2135
Mailing Address - Fax:
Practice Address - Street 1:1834 W 22ND PL FL 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-4302
Practice Address - Country:US
Practice Address - Phone:484-553-2135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1548734080OtherNPI TYPE 1
IL180.011645OtherLICENSED CLINICAL PROFESSIONAL COUNSELOR (LCPC)