Organization
OUTREACH COMMUNITY COUNSELING CENTER
Active
Parent organization
OUTREACH COMMUNITY MINISTRIES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUTREACH COMMUNITY MINISTRIES, INC
Authorized official
BRIAN T. LUX LCPC (DIRECTOR OF CLINICAL SERVICES)
(630) 682-1910
Entity
Organization
Contact information
Practice address
336 GUNDERSEN DR, CAROL STREAM, IL 60188-2403
(630) 871-2100
(630) 588-0824
Mailing address
373 S SCHMALE RD STE 102, CAROL STREAM, IL 60188-2771
(630) 682-1910
(630) 682-3094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
01/15/2021
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