Provider Demographics
NPI:1831945013
Name:EMILY LAPETINO LCPC LLC
Entity type:Organization
Organization Name:EMILY LAPETINO LCPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPETINO
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:773-688-9198
Mailing Address - Street 1:4305 N LINCOLN AVE STE E
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-1807
Mailing Address - Country:US
Mailing Address - Phone:773-688-9198
Mailing Address - Fax:773-634-8896
Practice Address - Street 1:4305 N LINCOLN AVE STE E
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-1807
Practice Address - Country:US
Practice Address - Phone:773-688-9198
Practice Address - Fax:773-634-8896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-27
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty