Provider Demographics
NPI:1316674872
Name:RESONANCE THERAPY AND COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:RESONANCE THERAPY AND COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:773-844-6706
Mailing Address - Street 1:1509 WAUKEGAN RD # 1013
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2122
Mailing Address - Country:US
Mailing Address - Phone:773-844-6706
Mailing Address - Fax:
Practice Address - Street 1:2752 WOODBINE AVE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1566
Practice Address - Country:US
Practice Address - Phone:773-844-6706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty