Provider Demographics
NPI:1336958669
Name:SQUARE ONE COUNSELING LLC
Entity type:Organization
Organization Name:SQUARE ONE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LCPC
Authorized Official - Prefix:
Authorized Official - First Name:OLABISI
Authorized Official - Middle Name:O
Authorized Official - Last Name:IRANLOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-302-2528
Mailing Address - Street 1:1436 FOXCROFT DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-1252
Mailing Address - Country:US
Mailing Address - Phone:630-302-2528
Mailing Address - Fax:
Practice Address - Street 1:1436 FOXCROFT DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1252
Practice Address - Country:US
Practice Address - Phone:630-302-2528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty