Amphora Counseling, Pllc

LBN: Amphora Counseling, Pllc
Amphora Counseling, Pllc is an health care organization with primary practice located at 3205 N Wilke Rd Ste 102C , Arlington Heights IL 60004-0004. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Amphora Counseling, Pllc can be contacted via phone (224) 349-2594, or through Griffith, Stacey via phone (224) 349-2594.

Contact Information

Primary practice address
3205 N Wilke Rd Ste 102C Arlington Heights IL 60004-0004
Phone: (224) 349-2594
Fax: (224) 350-8500
Website:
Map and Directions
Authorized official contact:
Name: Griffith, Stacey LCPC
Phone: (224) 349-2594

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1003580663
LBN Legal business name Amphora Counseling, Pllc
DBA Doing business as
Authorized official Griffith, Stacey LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2021
Last updated Jun 13th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003580663 NPPES
Illinois Other 1578069506 LICENSE

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