Provider Demographics
NPI:1386491058
Name:ORGANIC HEALING COUNSELING, PLLC
Entity type:Organization
Organization Name:ORGANIC HEALING COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST, SUPERVISOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PRINCESS
Authorized Official - Middle Name:GABRIELLE
Authorized Official - Last Name:GABOR
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LCPC
Authorized Official - Phone:872-314-0090
Mailing Address - Street 1:PO BOX 56573
Mailing Address - Street 2:
Mailing Address - City:HARWOOD HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60656-0556
Mailing Address - Country:US
Mailing Address - Phone:872-314-0090
Mailing Address - Fax:
Practice Address - Street 1:7604 W STRONG ST
Practice Address - Street 2:
Practice Address - City:NORRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60706-3354
Practice Address - Country:US
Practice Address - Phone:872-314-0090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty