1700107331 NPI number — ANAWAD COUNSELING AND CONSULTING

Table of content: (NPI 1700107331)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700107331 NPI number — ANAWAD COUNSELING AND CONSULTING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANAWAD COUNSELING AND CONSULTING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700107331
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/12/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22740 LAWNDALE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHTON PARK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60471-2539
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
708-421-2712
Provider Business Mailing Address Fax Number:
773-776-1124

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22740 LAWNDALE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHTON PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60471-2539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-421-2712
Provider Business Practice Location Address Fax Number:
773-776-1124
Provider Enumeration Date:
06/17/2010

Additional Information

Authorized Official

Authorized Official Last Name:
FLOWERS
Authorized Official First Name:
DAWANA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTITIONER
Authorized Official Telephone Number:
708-421-2712

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  180005166 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP2500X , with the licence number: 72000 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com