Organization
CITRINE AND INDIGO COUNSELING AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILLIAN TAYLOR LCPC, ATR, PMH-C (OWNER)
(708) 480-2637
Entity
Organization
Contact information
Practice address
800 E. ROOSEVELT ROAD, STE. E-220, GLEN ELLYN, IL 60137
(708) 480-2637
Mailing address
800 E. ROOSEVELT ROAD, STE. E-220, GLEN ELLYN, IL 60137
(708) 480-2637
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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