Provider Demographics
NPI:1033908587
Name:COUNSELING AND TESTING CENTER, LLC
Entity type:Organization
Organization Name:COUNSELING AND TESTING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:FIENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-917-7717
Mailing Address - Street 1:3S723 LANDON AVE
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-3621
Mailing Address - Country:US
Mailing Address - Phone:630-917-7717
Mailing Address - Fax:
Practice Address - Street 1:3S723 LANDON AVE
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-3621
Practice Address - Country:US
Practice Address - Phone:630-917-7717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty