Provider Demographics
NPI:1366610552
Name:CONSULTANTS FOR ORGANIZATION&PERSONAL ENRICHMENT, P.C.
Entity type:Organization
Organization Name:CONSULTANTS FOR ORGANIZATION&PERSONAL ENRICHMENT, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERLMUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-489-3200
Mailing Address - Street 1:16 FORSYTHIA CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-5643
Mailing Address - Country:US
Mailing Address - Phone:919-489-3200
Mailing Address - Fax:
Practice Address - Street 1:1845 E RAND RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4356
Practice Address - Country:US
Practice Address - Phone:847-259-3556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL71-836103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty