Provider Demographics
NPI:1730985961
Name:PHOENIX BILINGUAL SERVICES PLLC
Entity type:Organization
Organization Name:PHOENIX BILINGUAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ LEAD COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:JORGE
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:815-575-8914
Mailing Address - Street 1:580 PRAIRIE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-6301
Mailing Address - Country:US
Mailing Address - Phone:815-575-8914
Mailing Address - Fax:
Practice Address - Street 1:12545 FARM HILL DR STE E
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-7913
Practice Address - Country:US
Practice Address - Phone:815-575-8914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health