Provider Demographics
NPI:1902911860
Name:SPRINGTREE COUNSELING, P.C.
Entity Type:Organization
Organization Name:SPRINGTREE COUNSELING, P.C.
Other - Org Name:SPRING TREE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:SUK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC, LMFT
Authorized Official - Phone:847-492-1938
Mailing Address - Street 1:1033 UNIVERSITY PL
Mailing Address - Street 2:SUITE 300
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3196
Mailing Address - Country:US
Mailing Address - Phone:847-492-1938
Mailing Address - Fax:847-492-5081
Practice Address - Street 1:1033 UNIVERSITY PL
Practice Address - Street 2:SUITE 300
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3196
Practice Address - Country:US
Practice Address - Phone:847-492-1938
Practice Address - Fax:847-492-5081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101Y00000X, 101YM0800X, 101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1623120OtherBCBSIL