Organization
P S ITS COUNSELING LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAYAL SUD LCSW,ICDVP (FOUNDER)
(786) 475-5468
Entity
Organization
Contact information
Practice address
116 N CHICAGO ST STE 304, JOLIET, IL 60432-4212
(708) 308-0453
Mailing address
13550 W CHICAGO BLOOMINGTON TRL, HOMER GLEN, IL 60491-6124
(708) 308-0453
(631) 498-0453
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
01/16/2025
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