Organization
AMPHORA COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY GRIFFITH LCPC (PROFESSIONAL COUNSELOR/THERAPIST)
(224) 349-2594
Entity
Organization
Contact information
Practice address
3205 N WILKE RD STE 102C, ARLINGTON HEIGHTS, IL 60004-0004
(224) 349-2594
(224) 350-8500
Mailing address
3205 N WILKE RD STE 102C, ARLINGTON HEIGHTS, IL 60004-0004
(224) 349-2594
(224) 350-8500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578069506
LICENSE
IL
Enumeration date
08/05/2021
Last updated
06/13/2022
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