Organization
GROWING FROM WITHIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKILAH YATES (LCPC/OWNER)
(847) 220-4877
Entity
Organization
Contact information
Practice address
2549 WAUKEGAN RD STE 543, BANNOCKBURN, IL 60015-1569
(847) 220-4877
Mailing address
2549 WAUKEGAN RD STE 543, BANNOCKBURN, IL 60015-1569
(847) 220-4877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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