Provider Demographics
NPI:1871487470
Name:ATLAS COUNSELING, LLC
Entity type:Organization
Organization Name:ATLAS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:ANGELO
Authorized Official - Last Name:ZAMMUTO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:815-988-8937
Mailing Address - Street 1:7210 E STATE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61108-2636
Mailing Address - Country:US
Mailing Address - Phone:608-313-4340
Mailing Address - Fax:
Practice Address - Street 1:7210 E STATE ST STE 204
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61108-2636
Practice Address - Country:US
Practice Address - Phone:608-313-4340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)