Laura Gabriela Coyotl

Individual provider Active NPI Professional Counselor · Streamwood, IL

NPI 1174152185 · NPPES record last updated Apr 2, 2020

Key facts

NPI
1174152185
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
1400 E Irving Park Rd
Streamwood, IL 60107-3201
Phone
(630) 837-9000
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Streamwood Hospital Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

1400 E Irving Park Rd
Streamwood, IL 60107-3201

Mailing address

1400 E Irving Park Rd
Streamwood, IL 60107-3201
Phone (630) 837-9000

Other providers in Streamwood, IL

All providers in Streamwood, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.