Provider Demographics
NPI:1144640525
Name:BERLIND, RENE NANCY (MA, MBA, LCPC)
Entity type:Individual
Prefix:
First Name:RENE
Middle Name:NANCY
Last Name:BERLIND
Suffix:
Gender:F
Credentials:MA, MBA, LCPC
Other - Prefix:
Other - First Name:RENE
Other - Middle Name:NANCY
Other - Last Name:ZARFES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:527 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2612
Mailing Address - Country:US
Mailing Address - Phone:847-400-6923
Mailing Address - Fax:
Practice Address - Street 1:1033 UNIVERSITY PL
Practice Address - Street 2:SUITE 330
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3196
Practice Address - Country:US
Practice Address - Phone:847-400-6923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-23
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.009073101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional