Organization
PERIDOT COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH M SCHAFFER LCPC (OWNER/PSYCHOTHERAPIST)
(708) 998-2029
Entity
Organization
Contact information
Practice address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(708) 998-2029
Mailing address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
07/15/2022
Last updated
07/15/2022
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