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Contact Information

SANCTUARY COUNSELING, LLC
12247 S RACINE AVE
CALUMET PARK, IL60643
 Phone: 312-687-0198
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Mental Health

261QM0850X
 

Community/Behavioral Health

251S00000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for SANCTUARY COUNSELING, LLC

NPI # 1366075566
LBN Legal business name SANCTUARY COUNSELING, LLC
Authorized official CHRISTINE LANG REESE - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2020
Last updated 02/16/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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