location
search-icon
institution
Jiselle Roman Lcpc Pllc
Adolescent and Children Mental Health Clinic/Center in Chicago Ridge, Illinois
NPI 1649917345

Jiselle Roman Lcpc Pllc is an Adolescent and Children Mental Health Clinic/Center based in Oak Lawn, IL and is specialized in Adolescent and Children Mental Health. Jiselle Roman Lcpc Pllc practices in Chicago Ridge, IL. The NPI Number for Jiselle Roman Lcpc Pllc is 1649917345 and holds a License No. (Illinois).

The current practice location address for Jiselle Roman Lcpc Pllc is 10720 Princess Ave, Chicago Ridge, IL and can be reached out via phone at 773-627-7914 and via fax at 708-575-6527.

Location: 10720 Princess Ave, Chicago Ridge, IL, 60453-3137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649917345
Provider Name
Jiselle Roman Lcpc Pllc
Credential
Provider Entity Type
Organization
Address
10720 Princess Ave, Chicago Ridge, IL, 60453-3137
Phone Number
773-627-7914
Fax Number
708-575-6527
Provider Enumeration Date
05/16/2022
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1750703583 01 IL NPI 1
institution
Provider Business Practice Location Address Details
Address
10720 Princess Ave
City
Chicago Ridge
State
Illinois
Zip
60415-2139
Phone Number
773-627-7914
Fax Number
708-575-6527
person
Provider Business Mailing Address Details
Address
10720 Princess Ave
City
Chicago Ridge
State
Illinois
Zip
60415-2139
Phone Number
773-627-7914
Fax Number
708-575-6527
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.