Organization
THE KNOT CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORA VAN ARSDELL PSYD LCSW (CLINICAL PSYCHOLOGIST)
(630) 258-8059
Entity
Organization
Contact information
Practice address
5 REVERE DR STE 200, NORTHBROOK, IL 60062-8000
(630) 258-8059
(844) 629-5618
Mailing address
5 REVERE DRIVE STE 200, PMB 2100, NORTHBROOK, IL 60062
(630) 258-8059
(844) 629-5618
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558769109
NPI
—
05
—
1558769109
—
IL
Enumeration date
08/24/2018
Last updated
12/03/2018
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