Amphora Counseling, PLLC
Organization Active NPI Professional Counselor · Arlington Heights, IL
NPI 1003580663 · NPPES record last updated Jun 13, 2022
Key facts
- NPI
- 1003580663
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- AMPHORA COUNSELING, PLLC
- Practice address
- 3205 N Wilke Rd Ste 102C
Arlington Heights, IL 60004-0004 - Phone
- (224) 349-2594
- Fax
- (224) 350-8500
- NPI assigned
- Aug 5, 2021
- Organization subpart
- No
Authorized official
- Name
- Stacey Griffith, LCPC
- Title
- Professional Counselor/Therapist
- Phone
- (224) 349-2594
Practitioners 1
-
Stacey Griffith, LCPC
National Provider Directory
Locations
3205 N Wilke Rd
Ste 102C
Arlington Heights, IL 60004
Phone (224) 349-2594
1931 Skokie Valley Rd
#1002
Highland Park, IL 60035
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
3205 N Wilke Rd Ste 102C
Arlington Heights, IL 60004-0004
Mailing address
3205 N Wilke Rd Ste 102C
Arlington Heights, IL 60004-0004
Phone (224) 349-2594
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578069506 | Other | IL | LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sgriffith@amphoracounseling.net | Direct |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.