Provider Demographics
NPI:1285343632
Name:TEN-EIGHT COUNSELING, PLLC
Entity type:Organization
Organization Name:TEN-EIGHT COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERTRAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW CADC CODP
Authorized Official - Phone:847-873-9594
Mailing Address - Street 1:1590 S MILWAUKEE AVE STE 224
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3785
Mailing Address - Country:US
Mailing Address - Phone:847-873-9594
Mailing Address - Fax:
Practice Address - Street 1:1590 S MILWAUKEE AVE STE 224
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3785
Practice Address - Country:US
Practice Address - Phone:847-873-9594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty