Basic Information
| Provider Information | |||||||||
| NPI: | 1962738203 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HUDA ABUASI, LCPC, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11227 DISTINCTIVE DR | ||||||||
| Address2: | SUITE C | ||||||||
| City: | ORLAND PARK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604679458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7082540575 | ||||||||
| FaxNumber: | 7084783404 | ||||||||
| Practice Location | |||||||||
| Address1: | 11227 DISTINCTIVE DR | ||||||||
| Address2: | SUITE C | ||||||||
| City: | ORLAND PARK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604679458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7082540575 | ||||||||
| FaxNumber: | 7084783404 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/21/2009 | ||||||||
| LastUpdateDate: | 02/05/2013 | ||||||||
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| AuthorizedOfficialLastName: | ABUASI | ||||||||
| AuthorizedOfficialFirstName: | HUDA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7082540575 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | LCPC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 180003392 | IL | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.