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Collaborative Roots Counseling, LLC

Organization Active NPI Professional Counselor · Volo, IL

NPI 1972270080 · NPPES record last updated Aug 26, 2021

Key facts

NPI
1972270080
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
Legal business name
COLLABORATIVE ROOTS COUNSELING, LLC
Practice address
413 Bedford LN
Volo, IL 60073-8182
Phone
(847) 504-9382
NPI assigned
Aug 26, 2021
Organization subpart
No

Authorized official

Name
Elizabeth Kienzle, MA, LCPC, NCC NPI 1518631837
Title
Owner/Clinical Director
Phone
(847) 920-8882

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP		 101YP2500X Yes

Addresses

Primary practice location

413 Bedford LN
Volo, IL 60073-8182

Mailing address

413 Bedford LN
Volo, IL 60073-8182
Phone (847) 504-9382

Other providers in Volo, IL

All providers in Volo, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.