Provider Demographics
NPI:1255731493
Name:ASPIRE CONSULTING AND THERAPY, LLC
Entity type:Organization
Organization Name:ASPIRE CONSULTING AND THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE & FAM THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MUDITA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASTOGI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:847-258-7273
Mailing Address - Street 1:415 E GOLF RD STE 115
Mailing Address - Street 2:SUITE 115
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4049
Mailing Address - Country:US
Mailing Address - Phone:847-258-7273
Mailing Address - Fax:847-981-0876
Practice Address - Street 1:415 E GOLF RD STE 115
Practice Address - Street 2:SUITE 115
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4049
Practice Address - Country:US
Practice Address - Phone:847-258-7273
Practice Address - Fax:847-981-0876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166-000369106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty