Organization
EMILY PAGONE COUNSELING, PLLC
Active
Other names
Authentic Growth Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY PAGONE MS, LCPC (CLINICAL DIRECTOR AND OWNER)
(630) 207-2482
Entity
Organization
Contact information
Practice address
211 W CHICAGO AVE STE 119, HINSDALE, IL 60521-3355
(630) 207-2482
(630) 708-7573
Mailing address
211 W CHICAGO AVE STE 119, HINSDALE, IL 60521-3355
(630) 207-2482
(630) 708-7573
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417683236
NPI
IL
01
—
178018500
IDFPR
IL
01
—
178018549
IDFPR
IL
01
—
180012775
IDFPR
IL
01
—
1841646999
NPI
IL
Enumeration date
08/18/2020
Last updated
11/29/2023
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