Provider Demographics
NPI:1649860057
Name:COPING PLACE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:COPING PLACE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDYTA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZURAWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC
Authorized Official - Phone:708-522-9618
Mailing Address - Street 1:7300 W COLLEGE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1181
Mailing Address - Country:US
Mailing Address - Phone:708-586-7100
Mailing Address - Fax:708-586-7112
Practice Address - Street 1:7300 W COLLEGE DR STE 101
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1181
Practice Address - Country:US
Practice Address - Phone:708-586-7100
Practice Address - Fax:708-586-7112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)