Guiding Behavior Counseling, Pllc | |
2923 N Milwaukee Ave Unit 306 Chicago IL 60618-7886 | |
(773) 726-4832 | |
(773) 409-5458 |
Full Name | Guiding Behavior Counseling, Pllc |
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Speciality | Social Worker |
Location | 2923 N Milwaukee Ave Unit 306, Chicago, Illinois |
Authorized Official Name and Position | Ginny Griffin Nikiforos (LCSW, BCBA) |
Authorized Official Contact | 7737264832 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Guiding Behavior Counseling, Pllc 2850 N Rockwell St Chicago IL 60618-7804 Ph: (773) 726-4832 | Guiding Behavior Counseling, Pllc 2923 N Milwaukee Ave Unit 306 Chicago IL 60618-7886 Ph: (773) 726-4832 |
NPI Number | 1225492846 |
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Provider Enumeration Date | 04/09/2016 |
Last Update Date | 08/02/2022 |
Certification Date | 08/02/2022 |
Medicare PECOS PAC ID | 1557653698 |
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Medicare Enrollment ID | O20160711000036 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225492846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-14-17879 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149015268 (Illinois) | Primary |
Provider Name | Ginny G Nikiforos |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629338926 PECOS PAC ID: 7911163423 Enrollment ID: I20120727000789 |
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