Provider Demographics
NPI:1841187531
Name:PAPER CRANE COUNSELING LLC
Entity type:Organization
Organization Name:PAPER CRANE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THEA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:309-252-0683
Mailing Address - Street 1:17894 W BRAEWICK RD
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-5207
Mailing Address - Country:US
Mailing Address - Phone:309-252-0683
Mailing Address - Fax:
Practice Address - Street 1:17894 W BRAEWICK RD
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5207
Practice Address - Country:US
Practice Address - Phone:309-252-0683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty