Organization
HOLISTIC COUNSELING & DEVELOPMENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELLE GLYNISE MOORE DT LMSW LCSW (CLINICAL SOCIAL WORKER)
(708) 698-0714
Entity
Organization
Contact information
Practice address
246 E JANATA BLVD STE 111, LOMBARD, IL 60148-5317
(708) 901-0003
Mailing address
246 E JANATA BLVD STE 111, LOMBARD, IL 60148-5317
(708) 698-0714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
252Y00000X
Early Intervention Provider 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
07/11/2025
Last updated
05/11/2026
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