Organization
PEACEFUL HEALING COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHICOINE M.A., LCPC, CCTP (OWNER/SOLE MEMBER)
(708) 971-0470
Entity
Organization
Contact information
Practice address
15010 S RAVINIA AVE STE 12, ORLAND PARK, IL 60462-5353
(708) 971-0470
Mailing address
15010 S RAVINIA AVE STE 12, ORLAND PARK, IL 60462-5353
(708) 971-0470
(708) 590-6573
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902418486
—
IL
Enumeration date
02/15/2023
Last updated
09/17/2024
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