Provider Demographics
NPI:1851048292
Name:SELF-EMPOWERMENT COUNSELING, PLLC
Entity type:Organization
Organization Name:SELF-EMPOWERMENT COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SKELTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LPCC, LPC,
Authorized Official - Phone:312-841-7270
Mailing Address - Street 1:PO BOX 579154
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-7317
Mailing Address - Country:US
Mailing Address - Phone:312-841-7270
Mailing Address - Fax:
Practice Address - Street 1:2219 N SEELEY AVE APT 3F
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-3363
Practice Address - Country:US
Practice Address - Phone:312-841-7270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-06
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty